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1851873764
MITCHELL LEE SKIDMORE
WINSTON SALEM, NC
NPI
1851873764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225000000X Orthotic Fitter
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
MITCHELL LEE SKIDMORE
1399 WESTGATE CENTER DR
WINSTON SALEM, NC 27103-2934
Phone number: 336-768-1933
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Mailing Address
MITCHELL LEE SKIDMORE
1399 WESTGATE CENTER DR
WINSTON SALEM, NC 27103-2934
Phone number: 336-768-1933
Copy
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