Tanisha L Mitchell
Tanisha L Mitchell is a Prosthetics Case Management in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2018
Practice location Address checks out
3209 S Broadway Ste 117Edmond, OK 73013-4062
Phone: (405) 255-4393
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Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X · Licence 115055 (OK) |
|---|
Record details
| NPI number | 1578065710 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 4, 2018 |
| Last updated in NPPES | March 4, 2018 |
| Mailing address | 3209 S Broadway Ste 117, Edmond, OK 73013-4062 |
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Twila Ware
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-
Billy Joe Wilkerson Jr., BOCCPLP
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