If you have visited Vault 21 in New Vegas, and come back to see Doc Mitchell, he will explain that he was going to California with his wife. His wife, and childhood sweet-heart, died at some point. Some time afterward, he retired to Goodsprings, serving as the town doctor. As Mitchell got older, he returned to New Vegas and married his childhood sweetheart. He left at some point after it was opened, becoming a traveling doctor to help the people of the wasteland. Mitchell was born in Vault 21, where he was known by the nickname "Mole Butt" by the younger residents.
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