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Individual
MR. MITCHELL SMITH MCMANIS
Active
Individual
MR. MITCHELL SMITH MCMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.391636
OH
363L00000X
Nurse Practitioner
3011192
KY
363LF0000X
Family Nurse Practitioner
Primary
COA.19178-NP
OH
Other
Enumeration date
08/13/2013
Last updated
03/02/2022
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