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Individual

DEBORAH MULLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9527 W RIDGE TRAIL RD, SODDY DAISY, TN 37379-4018
(423) 842-3031
Mailing address
8140 STATE ROUTE 399, DUNLAP, TN 37327-6628
(423) 949-6000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000118070
TN
163W00000X
Registered Nurse
RN138554
GA

Other

Enumeration date
03/26/2007
Last updated
07/08/2007
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