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1245376573
DIANNE S MIXON
VIDALIA, GA
NPI
1245376573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 000330)
Enumeration Date
2007-01-30
Last Update Date
2010-12-20
Business Address
-- DIANNE S MIXON PA-C
1608 MEADOWS LN STE 1
VIDALIA, GA 30474-9907
Phone number: 912-537-9488
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Mailing Address
-- DIANNE S MIXON PA-C
1608 MEADOWS LN STE 1
VIDALIA, GA 30474-9907
Phone number: 912-537-9488
Copy
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