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Individual
CASSIDY D MITCHELL
Active
Individual
CASSIDY D MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
24521
NE
2086S0127X
Trauma Surgery Physician
36164
IA
Other
Enumeration date
08/17/2005
Last updated
12/01/2011
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