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1972641850
PORTLAND MITHEN
PLANO, TX
NPI
1972641850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02804)
Enumeration Date
2007-02-02
Last Update Date
2014-10-13
Business Address
-- PORTLAND MITHEN PA-C
3901 W 15TH ST
PLANO, TX 75075-7738
Phone number: 972-519-1444
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Mailing Address
-- PORTLAND MITHEN PA-C
PO BOX 201606
DALLAS, TX 75320-1606
Phone number: 972-758-3598
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