JONATHAN LAMONT MIXON

LAFAYETTE, LA
NPI1508260720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  AP08044)
Enumeration Date2014-10-17
Last Update Date2015-01-12
Business Address
Mr. JONATHAN LAMONT MIXON
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number: 337-504-4279
Mailing Address
Mr. JONATHAN LAMONT MIXON
1713 PEMBROKE ST
NEW IBERIA, LA 70563-8616
Phone number: 337-380-9064
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