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1528674181
MAGGIE MULLICAN
EUGENE, OR
NPI
1528674181
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Former Name
MAGGIE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR 125899)
Enumeration Date
2020-09-18
Last Update Date
2021-07-23
Business Address
MAGGIE MULLICAN
2445 ERIN WAY
EUGENE, OR 97408-4711
Phone number: 479-200-4238
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Mailing Address
MAGGIE MULLICAN
7084 S PLEASANT RIDGE DR
FAYETTEVILLE, AR 72704-5447
Phone number: 479-200-4238
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