Individual
LIBERTY DAWN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 E 6TH ST, ODESSA, TX 79761-4527
(432) 482-5000
Mailing address
3721 OAKRIDGE DR, ODESSA, TX 79762-7155
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
70261
OK
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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