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MR. PRESTON FOSTER MITCHELL II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CHW

Contact information

Practice address
2284 KINDERLY DR, COLUMBUS, OH 43232-4064
(614) 638-3820
(614) 235-9936
Mailing address
2284 KINDERLY DR, COLUMBUS, OH 43232-4064
(614) 638-3820
(614) 235-9936

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
00400
OH

Other

Enumeration date
12/03/2015
Last updated
12/03/2015
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