Individual
KATHY JO MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 ROSEMARIE DR APT H, LEBANON, OH 45036-1200
(513) 479-2358
Mailing address
206 ROSEMARIE DR APT H, LEBANON, OH 45036-1200
(513) 479-2358
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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