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1053986430
MARY ANN MULLANE
JACKSON, WY
NPI
1053986430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 32381)
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
MARY ANN MULLANE PT
1090 S HWY 89
JACKSON, WY 83001-8511
Phone number: 307-733-5577
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Mailing Address
MARY ANN MULLANE PT
707 FATHOM DR APT 208
SAN MATEO, CA 94404-1066
Phone number: 858-722-8187
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