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1255014635
TYCHELLE MIXON
CLEVELAND, OH
NPI
1255014635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: OH UA880623)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
TYCHELLE MIXON
7600 WOODLAND AVE # F9
CLEVELAND, OH 44104-3087
Phone number: 216-240-0498
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Mailing Address
TYCHELLE MIXON
3265 E 147TH ST APT 11
CLEVELAND, OH 44120-4100
Phone number: 216-609-7152
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