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Individual
KORY LANCE MITCHELL
Active
Individual
KORY LANCE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACUTE CARE NURSE PRA
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
663921
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP114881
TX
Other
Enumeration date
11/13/2006
Last updated
08/29/2022
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