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1366199465
THADEUS MIXON
CHICO, CA
NPI
1366199465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2022-03-08
Last Update Date
2022-03-08
Business Address
THADEUS MIXON
2836 MARIGOLD AVE
CHICO, CA 95973-7624
Phone number: 607-377-2867
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Mailing Address
THADEUS MIXON
746 OYSTER POINT DR
REEDVILLE, VA 22539-3605
Phone number: 607-377-2867
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