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Individual

CHASE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
4403 HARRISON BLVD, STE 3815, OGDEN, UT 84403-3271
(801) 387-2575
(801) 387-2585
Mailing address
4403 HARRISON BLVD, STE 3815, OGDEN, UT 84403-3271
(801) 387-2575
(801) 387-2585

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6926887-4405
UT

Other

Enumeration date
06/24/2014
Last updated
06/24/2014
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