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1356623391
JUSTIN T MIZELLE
JOHNSON CITY, TN
NPI
1356623391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TN 2025)
Enumeration Date
2011-09-15
Last Update Date
2018-03-17
Business Address
Mr. JUSTIN T MIZELLE PA-C
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 888-632-1085
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Mailing Address
Mr. JUSTIN T MIZELLE PA-C
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number:
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