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1174795017
AMANDA M MIXON
LONGMONT, CO
NPI
1174795017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO PA.0002872)
Enumeration Date
2008-04-01
Last Update Date
2020-02-27
Business Address
AMANDA M MIXON PA-C
1715 IRON HORSE DR STE 100
LONGMONT, CO 80501-9617
Phone number: 720-494-4700
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Mailing Address
AMANDA M MIXON PA-C
1715 IRON HORSE DR STE 100
LONGMONT, CO 80501-9617
Phone number: 720-494-4700
Copy
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