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Individual

JACLYN MITCHENER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1135 JOSEPHINE ST APT 301B, DENVER, CO 80206-3162
(831) 596-6807
Mailing address
1135 JOSEPHINE ST APT 301B, DENVER, CO 80206-3162

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013544
CO

Other

Enumeration date
03/26/2015
Last updated
03/26/2015
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