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1417462961
TAMMY L MIX
COLUMBUS, OH
NPI
1417462961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 104379)
Enumeration Date
2017-12-06
Last Update Date
2017-12-06
Business Address
TAMMY L MIX LPN
765 PIERCE DR
COLUMBUS, OH 43223-2425
Phone number: 614-223-1650
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Mailing Address
TAMMY L MIX LPN
221 FLORENCE AVE
ZANESVILLE, OH 43701-4116
Phone number: 740-408-1279
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