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1073637930
STACIE MAXIMIEK MITCHELL
DANVILLE, PA
NPI
1073637930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: PA DS035256)
Enumeration Date
2007-03-18
Last Update Date
2007-07-08
Business Address
Dr. STACIE MAXIMIEK MITCHELL DMD
310 PINE ST
DANVILLE, PA 17821-1956
Phone number: 570-275-2600
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Mailing Address
Dr. STACIE MAXIMIEK MITCHELL DMD
5 HILLSIDE DR
BLOOMSBURG, PA 17815-7722
Phone number: 570-387-8680
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