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1457971889
THREASE Y MITCHELL
SHREVEPORT, LA
NPI
1457971889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP145563)
Enumeration Date
2020-04-27
Last Update Date
2021-12-15
Business Address
THREASE Y MITCHELL NP
1505 E BERT KOUN LOOP STE 101
SHREVEPORT, LA 71105-5723
Phone number: 318-681-7480
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Mailing Address
THREASE Y MITCHELL NP
6806 OAKMANTLE DR
HOUSTON, TX 77085-1336
Phone number: 281-683-6444
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