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1093325961
KARLIE INGRAM MIXON
CORDELE, GA
NPI
1093325961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
KARLIE INGRAM MIXON DPT
1107 GREER ST
CORDELE, GA 31015-1920
Phone number: 229-273-2445
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Mailing Address
KARLIE INGRAM MIXON DPT
295 MORNING GLORY RD
VIENNA, GA 31092-4470
Phone number: 229-938-3069
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