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1295218774
LACEY BEARD MIXON
DOTHAN, AL
NPI
1295218774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-37700)
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
LACEY BEARD MIXON CRNP
1781 E COTTONWOOD RD
DOTHAN, AL 36301-5309
Phone number: 334-678-5851
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Mailing Address
LACEY BEARD MIXON CRNP
201 MONROE ST STE 1600
MONTGOMERY, AL 36104-3721
Phone number: 334-206-9344
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