MICKEY PHAN

OXFORD, MS
NPI1568113165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-01-14
Last Update Date2022-01-14
Business Address
MICKEY PHAN
UNIVERSITY AVE
OXFORD, MS 38655
Phone number: 601-910-8551
Mailing Address
MICKEY PHAN
510 HOLLYBERRY DR
CLINTON, MS 39056-5524
Phone number:
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