Larry Dwayne Mullin
Larry Dwayne Mullin is a Peer Specialist in Vinita, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
405 E Excelsior AveVinita, OK 74301-4226
Phone: (918) 325-7005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1538838040 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2021 |
| Last updated in NPPES | September 14, 2021 |
| Certification date | September 14, 2021 |
| Mailing address | Po Box 712, Afton, OK 74331-0712 |
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