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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Thomas Evans Mitchell | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Thomas | [sources] | |||
| Last name | Mitchell | [sources] | |||
| Middle name | Evans | [sources] | |||
| NPI | 1144381674 | [sources] | |||
| Registration number | 00G542070 · 00G542071 · 00G542072 · G54207 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | P.O. Box 92045, Pasadena, CA 91109 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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