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1316941891
CONNIE MULLEN
LAKE WORTH, FL
NPI
1316941891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: FL MW45)
Enumeration Date
2005-06-13
Last Update Date
2013-06-06
Business Address
CONNIE MULLEN LM, CPM
7950 S MILITARY TRL 201
LAKE WORTH, FL 33463-8162
Phone number: 561-330-0993
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Mailing Address
CONNIE MULLEN LM, CPM
612 NW 15TH AVE
BOCA RATON, FL 33486-3238
Phone number: 561-330-0993
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