Individual
MR. MITCHELL ANTHONY JAMESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
157 GROVE ST, BANGOR, ME 04401-4007
(207) 745-4984
Mailing address
157 GROVE ST, BANGOR, ME 04401-4007
(207) 745-4984
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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