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Individual
MR. VERNON HARRELL MITCHELL
Active
Individual
MR. VERNON HARRELL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
UNLICENSED
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680386415
193200000X MULTI- SPECIALTY GROUP
CA
Enumeration date
12/15/2008
Last updated
12/15/2008
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