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1598492530
HEIDI LISSETTE MICKLES
MOBILE, AL
NPI
1598492530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
Mrs. HEIDI LISSETTE MICKLES
6001 SUNNYSIDE DR
MOBILE, AL 36619-1786
Phone number: 251-472-6493
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Mailing Address
Mrs. HEIDI LISSETTE MICKLES
6001 SUNNYSIDE DR
MOBILE, AL 36619-1786
Phone number: 251-472-6493
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