MARK MULLETT

LAKE CHARLES, LA
NPI1629186135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: LA  210697)
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
Mr. MARK MULLETT OT
3221 RYAN ST SUITE D
LAKE CHARLES, LA 70601
Phone number: 337-439-3344
Mailing Address
Mr. MARK MULLETT OT
4924 S PRIEN LAKE RD
LAKE CHARLES, LA 70605
Phone number:
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