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1134124308
MARK GLENN MITCHELL
SAN JOSE, CA
NPI
1134124308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 8285T)
Enumeration Date
2005-06-15
Last Update Date
2017-10-27
Business Address
Dr. MARK GLENN MITCHELL O.D.
678 E SANTA CLARA ST
SAN JOSE, CA 95112-1931
Phone number: 408-293-2020
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Mailing Address
Dr. MARK GLENN MITCHELL O.D.
2425 GOLDEN HILL STE 106-205
PASO ROBLES, CA 93446
Phone number: 775-848-8214
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