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1811639156
JOHNNY MIXON
OKLAHOMA CITY, OK
NPI
1811639156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-04-08
Last Update Date
2022-04-08
Business Address
Mr. JOHNNY MIXON
733 NW 91ST ST
OKLAHOMA CITY, OK 73114-2801
Phone number: 405-885-8225
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Mailing Address
Mr. JOHNNY MIXON
1317 SAINT MATHEWS DR
MIDWEST CITY, OK 73110-1413
Phone number: 405-885-8226
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