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1013261288
CRYSTAL MIZELL
CANTON, GA
NPI
1013261288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: GA 002725)
Enumeration Date
2012-11-09
Last Update Date
2013-11-01
Business Address
Dr. CRYSTAL MIZELL
2030 CUMMING HWY STE 106
CANTON, GA 30115-8009
Phone number: 678-493-2220
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Mailing Address
Dr. CRYSTAL MIZELL
2030 CUMMING HWY STE 106
CANTON, GA 30115-8009
Phone number: 678-493-2220
Copy
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