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1659815926
SAMANTHA LEE MITCHELL
LOUISVILLE, KY
NPI
1659815926
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Former Name
SAMANTHA LEE ROBERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-12-06
Last Update Date
2023-02-02
Business Address
SAMANTHA LEE MITCHELL Physician Assistant
210 E GRAY ST STE 900
LOUISVILLE, KY 40202-3905
Phone number: 502-584-7525
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Mailing Address
SAMANTHA LEE MITCHELL Physician Assistant
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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