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1063103752
REVA SHANE MITCHELL
COLUMBUS, OH
NPI
1063103752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 180908)
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
REVA SHANE MITCHELL
2810 FERN AVE
COLUMBUS, OH 43211-1730
Phone number: 614-999-5152
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Mailing Address
REVA SHANE MITCHELL
2810 FERN AVE
COLUMBUS, OH 43211-1730
Phone number: 614-999-5152
Copy
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