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Individual

LISA R MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1501 MAIN ST, CASSVILLE, MO 65625-1154
(417) 847-2221
(417) 847-4009
Mailing address
1501 MAIN ST, CASSVILLE, MO 65625-1154
(417) 847-2221
(417) 847-4009

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01849
MO

Other

Enumeration date
08/07/2012
Last updated
08/07/2012
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