Individual
MITCHELL JAY LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 4TH AVE NE, JAMESTOWN, ND 58401-3229
(701) 252-3467
(701) 253-4318
Mailing address
1105 4TH AVE NE, JAMESTOWN, ND 58401-3229
(701) 252-3467
(701) 253-4318
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
091-91
ND
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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