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1588757306
KRISTINA L. MULLEN
MOUNT VERNON, WA
NPI
1588757306
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Former Name
KRISTINA L. JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA10004818)
Enumeration Date
2006-10-02
Last Update Date
2014-07-01
Business Address
Ms. KRISTINA L. MULLEN PAC
2320 FREEWAY DRIVE
MOUNT VERNON, WA 98273
Phone number: 360-814-6100
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Mailing Address
Ms. KRISTINA L. MULLEN PAC
1400 E KINCAID ST C/O CREDENTIALING
MOUNT VERNON, WA 98274-4127
Phone number: 360-428-2500
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