STEPHANIE MIXON

MCCOMB, MS
NPI1568677003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3089)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
-- STEPHANIE MIXON
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
Mailing Address
-- STEPHANIE MIXON
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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