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1063682391
THERESA D MIXON
WINTER HAVEN, FL
NPI
1063682391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-03-03
Last Update Date
2008-03-03
Business Address
-- THERESA D MIXON MS
1201 1ST ST S
WINTER HAVEN, FL 33880-3904
Phone number: 863-293-1121
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Mailing Address
-- THERESA D MIXON MS
200 AVENUE F NE
WINTER HAVEN, FL 33881-4131
Phone number: 863-293-1121
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