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1912481656
COLIN MICHAEL MULLALY
MOODY AFB, GA
NPI
1912481656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2018-09-19
Last Update Date
2023-09-22
Business Address
COLIN MICHAEL MULLALY IDMT
3278 MITCHELL BLVD
MOODY AFB, GA 31699-1500
Phone number: 229-257-7569
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Mailing Address
COLIN MICHAEL MULLALY IDMT
3278 MITCHELL BLVD
MOODY AFB, GA 31699-1500
Phone number:
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