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Individual

ANTONIO MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PCA

Contact information

Practice address
6818 GROVER ST STE 101, OMAHA, NE 68106-3632
(402) 390-2492
Mailing address
6818 GROVER ST STE 101, OMAHA, NE 68106-3632
(402) 390-2492

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
03/05/2025
Last updated
03/06/2025
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