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Individual

MISS AMY RAY MITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
901 E BRADY ST STE 101, BUTLER, PA 16001-4649
(724) 283-4460
Mailing address
624 FALLECKER RD, BUTLER, PA 16002-0030
(724) 234-5446

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.006844RX
OH
363A00000X
Physician Assistant
Primary
MA059888
PA

Other

Enumeration date
08/29/2018
Last updated
01/26/2021
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