NPI | 1144309253 |
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Doing Business As | KEVIN P. MULVEY |
Entity Type | Organization |
Authorized Contact | KEVIN PATRICK MULVEY Owner 651-414-0971 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2006-11-02 |
Last Update Date | 2008-01-10 |