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Individual

DAMON MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823-2006
(916) 395-3552
(916) 395-3683
Mailing address
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823-2006

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
F7471428
CA

Other

Enumeration date
12/08/2014
Last updated
02/18/2015
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