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1578823985
DERRICK L MITCHELL
JACKSONVILLE, FL
NPI
1578823985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN18598)
Enumeration Date
2012-05-18
Last Update Date
2012-05-18
Business Address
-- DERRICK L MITCHELL DDS
1036-42 DUNN AVE
JACKSONVILLE, FL 32218-6359
Phone number: 904-714-9909
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Mailing Address
-- DERRICK L MITCHELL DDS
3869 ELOISE ST
JACKSONVILLE, FL 32205-8943
Phone number: 202-294-8872
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