MITCHELL WADE SPENCER

PHOENIX, AZ
NPI1649912387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-12
Last Update Date2022-04-12
Business Address
MITCHELL WADE SPENCER
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
Mailing Address
MITCHELL WADE SPENCER
2445 EAGLE DR APT 101
AMMON, ID 83406-5739
Phone number:
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