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1174551493
JASON W MITCHELL
ALBUQUERQUE, NM
NPI
1174551493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 20020432)
Enumeration Date
2006-06-28
Last Update Date
2008-07-16
Business Address
-- JASON W MITCHELL MD
5901 HARPER DR NE PMG URGENT CARE
ALBUQUERQUE, NM 87109-3587
Phone number: 505-823-8233
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Mailing Address
-- JASON W MITCHELL MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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