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1316450661
LISA PAIGE MIZELLE
DECATUR, AL
NPI
1316450661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-073714)
Enumeration Date
2017-11-08
Last Update Date
2017-11-08
Business Address
LISA PAIGE MIZELLE CRNP
2604 HIGHWAY 31 S
DECATUR, AL 35603-1506
Phone number: 256-445-3100
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Mailing Address
LISA PAIGE MIZELLE CRNP
2604 HIGHWAY 31 S STE 100
DECATUR, AL 35603-1506
Phone number: 256-445-3100
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