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Individual
MRS. MAUREEN S MITCHELL
Active
Individual
MRS. MAUREEN S MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
001013084
NC
363A00000X
Physician Assistant
Primary
0010-13084
NC
363AM0700X
Medical Physician Assistant
001-13084
NC
Other
Enumeration date
03/02/2023
Last updated
12/04/2023
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