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1316347891
CHARLES LESTER TALAN MITCHELL
PALM COAST, FL
NPI
1316347891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT29295)
Enumeration Date
2014-09-03
Last Update Date
2014-09-03
Business Address
Dr. CHARLES LESTER TALAN MITCHELL PT, DPT
520 PALM COAST PKWY SW ST # 101
PALM COAST, FL 32137-4742
Phone number: 386-446-4107
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Mailing Address
Dr. CHARLES LESTER TALAN MITCHELL PT, DPT
218 DONDANVILLE RD
SAINT AUGUSTINE, FL 32080-6405
Phone number: 901-581-8057
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