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1104552421
MIRANDA JO MITCHELL
MARION, IN
NPI
1104552421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 28235947A)
Enumeration Date
2022-07-28
Last Update Date
2022-07-28
Business Address
MRS. MIRANDA JO MITCHELL FNP-C
1130 N BALDWIN AVE
MARION, IN 46952-2536
Phone number: 765-660-7480
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Mailing Address
MRS. MIRANDA JO MITCHELL FNP-C
330 N WABASH AVE STE G-20
MARION, IN 46952-2605
Phone number: 765-660-7600
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