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1841048303
SHAD ANTHONY MITCHELL
CHARLESTON, WV
NPI
1841048303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-09
Last Update Date
2024-07-20
Business Address
SHAD ANTHONY MITCHELL RN
501 MORRIS ST
CHARLESTON, WV 25301-1326
Phone number: 859-490-8204
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Mailing Address
SHAD ANTHONY MITCHELL RN
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304-1210
Phone number: 304-388-5432
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