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1801408802
MITZIE MARION COLET MICKELSON
ROME, GA
NPI
1801408802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT004641)
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
Mrs. MITZIE MARION COLET MICKELSON OTR/L, CPAM
511 W 10TH ST NE
ROME, GA 30165-2652
Phone number: 706-235-0807
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Mailing Address
Mrs. MITZIE MARION COLET MICKELSON OTR/L, CPAM
1501 SUMMER GATE WAY APT 12
DALTON, GA 30720-5385
Phone number: 408-218-4635
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