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1255861514
TANYA MITCHELL
POCATELLO, ID
NPI
1255861514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRO1660)
Enumeration Date
2017-06-19
Last Update Date
2024-02-20
Business Address
TANYA MITCHELL DO
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-4700
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Mailing Address
TANYA MITCHELL DO
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-4700
Copy
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