SUSAN MICHELLE MIXON

TUMWATER, WA
NPI1841896263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP00045866)
Enumeration Date2020-12-10
Last Update Date2023-03-06
Business Address
SUSAN MICHELLE MIXON
3285 FERGUSON ST SW
TUMWATER, WA 98512
Phone number: 360-280-9889
Mailing Address
SUSAN MICHELLE MIXON
3285 FERGUSON ST SW
TUMWATER, WA 98512-6143
Phone number: 360-943-1907
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