JERRY NELSON MIXON

KIRKLAND, WA
NPI1366799090
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: WA  MD00023643)
Enumeration Date2012-08-13
Last Update Date2012-08-13
Business Address
Dr. JERRY NELSON MIXON MD
9757 NE JUANITA DR 202
KIRKLAND, WA 98034-4299
Phone number: 425-605-8715
Mailing Address
Dr. JERRY NELSON MIXON MD
9757 NE JUANITA DR 202
KIRKLAND, WA 98034-4299
Phone number: 425-605-8715
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