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Individual

ANTONIO E MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
645 COLUMBUS AVE STE A, LEBANON, OH 45036-1605
(513) 228-1489
(513) 934-7173
Mailing address
645 COLUMBUS AVE STE A, LEBANON, OH 45036-1605
(513) 228-1489
(513) 934-7173

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
OH

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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