BRENT MULLEN

FORT CAMPBELL, KY
NPI1922600287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12013482A)
Enumeration Date2020-11-12
Last Update Date2020-11-12
Business Address
BRENT MULLEN
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
Mailing Address
BRENT MULLEN
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
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