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Individual

MR. BRYANT PATRICK MULLANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
2300 FOOTHILL BLVD., ROCK SPRINGS, WY 82901
(307) 352-6677
(307) 352-6614
Mailing address
2300 FOOTHILL BLVD., ROCK SPRINGS, WY 82901
(307) 352-6677
(307) 352-6614

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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