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1245382936
JASON WAYNE MULLEN
CLAYTON, NC
NPI
1245382936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 8174)
Enumeration Date
2007-01-16
Last Update Date
2008-09-08
Business Address
Dr. JASON WAYNE MULLEN D.D.S
100 PINECROFT DR.
CLAYTON, NC 27520
Phone number: 919-585-7321
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Mailing Address
Dr. JASON WAYNE MULLEN D.D.S
533 WATAUGA ST
RALEIGH, NC 27604-1969
Phone number: 919-260-0660
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