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Individual

DAMITA R. MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NON BA, TO

Contact information

Practice address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
(330) 452-8860
Mailing address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
(330) 452-8860

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0290822
OH
Enumeration date
05/25/2010
Last updated
05/25/2010
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