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MR. KEITH WALLACE MITCHELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6072
(207) 505-4123
Mailing address
66 WALTER ST, BANGOR, ME 04401-6234
(207) 902-0990

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
68085
ME
163WP0808X
Psychiatric/Mental Health Registered Nurse
68085
ME

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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