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Individual

MR. PAUL MITCHELL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCC,LPN

Contact information

Practice address
802 CURA CT, OAKLAND, FL 34787-8955
(407) 373-5924
(407) 614-4956
Mailing address
802 CURA CT, OAKLAND, FL 34787-8955
(407) 373-5924
(407) 614-4956

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1001541
FL

Other

Enumeration date
01/15/2008
Last updated
01/15/2008
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