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1912304692
KELLY MIXON
FLORENCE, SC
NPI
1912304692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: SC 78085)
Enumeration Date
2014-11-25
Last Update Date
2014-11-25
Business Address
Mrs. KELLY MIXON RN
1119 N IRBY ST
FLORENCE, SC 29501-2621
Phone number: 843-664-8162
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Mailing Address
Mrs. KELLY MIXON RN
1119 N IRBY ST
FLORENCE, SC 29501-2621
Phone number: 843-664-8162
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