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Individual

DYATRA MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
770 READING ROAD, SUITE A, MASON, OH 45040-1330
(513) 573-1444
(513) 573-1538
Mailing address
770 READING ROAD, SUITE A, MASON, OH 45040-1330
(513) 573-1444
(513) 573-1538

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74652
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2061165
OH
Enumeration date
03/24/2006
Last updated
05/01/2012
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