SHANE MITCHELL

FT BLISS, TX
NPI1609541887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2021-08-10
Last Update Date2023-07-14
Business Address
SHANE MITCHELL PA
21227 TORCH ST
FT BLISS, TX 79918
Phone number: 159-742-3294
Mailing Address
SHANE MITCHELL PA
3140 HEATH LOOP APT C
WEST POINT, NY 10996-1880
Phone number: 951-663-0918
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