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1083463301
HAGEN MITCHELL
CAVE CITY, AR
NPI
1083463301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4654)
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
HAGEN MITCHELL
520 N MAIN ST
CAVE CITY, AR 72521
Phone number: 870-283-6757
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Mailing Address
HAGEN MITCHELL
683 HIGHWAY 117
SMITHVILLE, AR 72466-8524
Phone number:
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