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1194446070
MITCHELL MARTIN
SCOTTSBLUFF, NE
NPI
1194446070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2022-09-08
Last Update Date
2022-09-08
Business Address
MITCHELL MARTIN
2622 AVENUE C
SCOTTSBLUFF, NE 69361-1680
Phone number: 308-632-8547
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Mailing Address
MITCHELL MARTIN
2622 AVENUE C
SCOTTSBLUFF, NE 69361-1680
Phone number: 308-632-8547
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