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1902975303
JACKIE MAURICE MULLEN
ROCKY MOUNT, NC
NPI
1902975303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 3486)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Dr. JACKIE MAURICE MULLEN DDS.PA
901 N WINSTEAD AVE SUITE 120
ROCKY MOUNT, NC 27804-8467
Phone number: 252-443-7575
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Mailing Address
Dr. JACKIE MAURICE MULLEN DDS.PA
901 N WINSTEAD AVE SUITE 120
ROCKY MOUNT, NC 27804-8467
Phone number: 252-443-7575
Copy
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