TANISHA L MITCHELL

EDMOND, OK
NPI1578065710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: OK  115055)
Enumeration Date2018-03-04
Last Update Date2018-03-04
Business Address
TANISHA L MITCHELL
3209 S BROADWAY STE 117
EDMOND, OK 73013-4062
Phone number: 405-255-4393
Mailing Address
TANISHA L MITCHELL
3209 S BROADWAY STE 117
EDMOND, OK 73013-4062
Phone number: 405-255-4393
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