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Individual

DR. GERRY DEWAYNE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
120 S JEFFERSON ST, SUITE 105, SAINT JAMES, MO 65559-1365
(573) 265-0310
Mailing address
115 E SPRINGFIELD ST, SUITE 105, SAINT JAMES, MO 65559-1646
(573) 265-0310

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009026117
MO

Other

Enumeration date
08/28/2009
Last updated
06/23/2016
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