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1164860086
ANDREW J MULLALLY
FORT WAYNE, IN
NPI
1164860086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01074259A)
Enumeration Date
2013-06-13
Last Update Date
2017-04-20
Business Address
Dr. ANDREW J MULLALLY MD
10050 AUBURN PARK DR
FORT WAYNE, IN 46825-2389
Phone number: 260-432-6459
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Mailing Address
Dr. ANDREW J MULLALLY MD
10050 AUBURN PARK DR
FORT WAYNE, IN 46825-2389
Phone number: 260-432-6459
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