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1396999439
SHELLY AMANDA MITCHELL
FAYETTEVILLE, AR
NPI
1396999439
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Former Name
SHELLY AMANDA MITCHELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT80630)
Enumeration Date
2008-11-14
Last Update Date
2008-11-14
Business Address
Mrs. SHELLY AMANDA MITCHELL RD
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703-4424
Phone number: 479-463-4121
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Mailing Address
Mrs. SHELLY AMANDA MITCHELL RD
4 BAKER DR
BELLA VISTA, AR 72715-6611
Phone number: 479-855-0121
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