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1912531781
HYRUM KENNETH MITCHELL
BARKSDALE AFB, LA
NPI
1912531781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 11767177-9922)
Enumeration Date
2020-03-02
Last Update Date
2023-09-25
Business Address
HYRUM KENNETH MITCHELL DMD
1067 TWINING DR
BARKSDALE AFB, LA 71110-2486
Phone number: 318-456-6718
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Mailing Address
HYRUM KENNETH MITCHELL DMD
5855 E STILL CIR
MESA, AZ 85206-3631
Phone number: 480-248-8100
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