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1033599337
MARTHA ANN MITCHELL
WINSTON SALEM, NC
NPI
1033599337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2015-06-02
Last Update Date
2015-06-02
Business Address
-- MARTHA ANN MITCHELL
1078 BETTY DR
WINSTON SALEM, NC 27107-5431
Phone number: 336-671-6125
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Mailing Address
-- MARTHA ANN MITCHELL
1078 BETTY DR
WINSTON SALEM, NC 27107-5431
Phone number: 336-671-6125
Copy
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