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1922065721
KENNETH H MULLEN
LODI, CA
NPI
1922065721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G27186)
Enumeration Date
2006-04-27
Last Update Date
2012-02-14
Business Address
-- KENNETH H MULLEN MD
1901 W KETTLEMAN LN # 200
LODI, CA 95242-4337
Phone number: 209-334-8540
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Mailing Address
-- KENNETH H MULLEN MD
PO BOX 241011
LODI, CA 95241-9511
Phone number: 209-339-7435
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