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1013107499
MARK ANTHONY MITCHELL
JACKSONVILLE, NC
NPI
1013107499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-07-31
Last Update Date
2007-07-31
Business Address
-- MARK ANTHONY MITCHELL IDC
1140 KELLUM LOOP RD #36
JACKSONVILLE, NC 28546-3321
Phone number: 917-603-6469
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Mailing Address
-- MARK ANTHONY MITCHELL IDC
1140 KELLUM LOOP RD #36
JACKSONVILLE, NC 28546-3321
Phone number: 917-603-6469
Copy
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