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1558647008
SUSAN THOMAS MIXON
POTEAU, OK
NPI
1558647008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
103TS0200X Psychologist, School
Enumeration Date
2011-10-28
Last Update Date
2011-10-28
Business Address
-- SUSAN THOMAS MIXON M.S., J.D.
108 ROSEWOOD DR
POTEAU, OK 74953-2232
Phone number: 918-658-5438
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Mailing Address
-- SUSAN THOMAS MIXON M.S., J.D.
108 ROSEWOOD DR
POTEAU, OK 74953-2232
Phone number: 918-658-5438
Copy
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