Individual
SALLY JANE MIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7800
Mailing address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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