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Individual

RENEE LYNN MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15945 WOOD RD, LANSING, MI 48906-1746
(517) 394-1234
Mailing address
307 PLEASANT ST, CHARLOTTE, MI 48813-1625
(810) 422-4310

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103852
MI

Other

Enumeration date
03/01/2023
Last updated
03/01/2023
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