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1962567719
FRED L MITCHELL
EAST LANSING, MI
NPI
1962567719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MI 5101006537)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
-- FRED L MITCHELL DO
906 LANTERN HILL DR
EAST LANSING, MI 48823-2832
Phone number: 517-351-5248
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Mailing Address
-- FRED L MITCHELL DO
906 LANTERN HILL DR
EAST LANSING, MI 48823-2832
Phone number: 517-351-5248
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