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1497120760
THADDEUS DWAYNE MITCHAM
ANDERSEN AFB, GU
NPI
1497120760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2015-12-11
Last Update Date
2024-08-14
Business Address
Mr. THADDEUS DWAYNE MITCHAM Physician Assistant
36TH MEDICAL GROUP UNIT 14010 BLDG 26012
ANDERSEN AFB, GU 96543-4003
Phone number: 671-366-4549
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Mailing Address
Mr. THADDEUS DWAYNE MITCHAM Physician Assistant
36TH MEDICAL GROUP UNIT 14010 BLDG 26012
ANDERSEN AFB, GU 96543-4003
Phone number: 671-366-4549
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