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1063190734
JACOB WAGNER MITCHELL
MOUNTAIN HOME, AR
NPI
1063190734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AR 4692)
Enumeration Date
2023-07-11
Last Update Date
2023-07-11
Business Address
JACOB WAGNER MITCHELL
2338 HIGHWAY 62 W
MOUNTAIN HOME, AR 72653-6184
Phone number: 870-424-4670
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Mailing Address
JACOB WAGNER MITCHELL
113 PARKVIEW DR
MOUNTAIN HOME, AR 72653-4229
Phone number: 870-424-4670
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