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Individual

BRADEN D MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
910 N FAIRFIELD RD, LAYTON, UT 84041-2723
(801) 544-8562
(801) 544-8584
Mailing address
3506 S 575 W, RIVERDALE, UT 84405-1630
(801) 627-2321

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
333320-1701
UT

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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