DOUGLAS WAYNE MULLIN

LAFAYETTE, IN
NPI1316051006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: IN  15097)
Enumeration Date2006-08-18
Last Update Date2007-12-19
Business Address
Mr. DOUGLAS WAYNE MULLIN C.O.
3802 AMELIA AVE SUITE B
LAFAYETTE, IN 47905-5772
Phone number: 765-404-7285
Mailing Address
Mr. DOUGLAS WAYNE MULLIN C.O.
3802 AMELIA AVE SUITE B
LAFAYETTE, IN 47905-5772
Phone number: 765-404-7285
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