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Individual

DASIA MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1301 E ARLINGTON BLVD, GREENVILLE, NC 27858-5868
(252) 565-8812
(252) 565-8814
Mailing address
PO BOX 18003, RALEIGH, NC 27619-8003

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
Enumeration date
05/17/2021
Last updated
05/17/2021
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