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1912689399
EBONY MCMULLIN
ELIZABETHTOWN, KY
NPI
1912689399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: KY 4004989)
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
EBONY MCMULLIN NP
103 FINANCIAL PL STE 100
ELIZABETHTOWN, KY 42701-4471
Phone number: 251-242-1349
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Mailing Address
EBONY MCMULLIN NP
1054 WETTERAU AVE
LOUISVILLE, KY 40217-1554
Phone number: 251-242-1349
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