Individual
DEBORAH MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1776
(978) 922-3000
Mailing address
40 HASKELL ST, BEVERLY, MA 01915-2155
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1285
MA
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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