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Individual

LORI SUE MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7731
(734) 785-7731
Mailing address
18640 HILLTOP DR, RIVERVIEW, MI 48193-1801

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704149474
MI

Other

Enumeration date
12/02/2009
Last updated
12/02/2009
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