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1255965273
KELLYE MIXSON
AUSTIN, TX
NPI
1255965273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 145313)
Enumeration Date
2020-02-28
Last Update Date
2020-08-20
Business Address
Mrs. KELLYE MIXSON MSN, APRN, PMHNP-BC
4101 PARKSTONE HEIGHTS DR STE 360
AUSTIN, TX 78746-7482
Phone number: 940-781-9549
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Mailing Address
Mrs. KELLYE MIXSON MSN, APRN, PMHNP-BC
4101 PARKSTONE HEIGHTS DR STE 360
AUSTIN, TX 78746-7482
Phone number: 940-781-9549
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