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Brandon Mixon
NPI 1215571906 · on the registry since 2019 · sole proprietor
Practice
- Address
- 10730 Church St Apt 266
Rancho Cucamonga, CA 91730 - Phone
- (909) 465-3151
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Male
- Record last updated
- 2019-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California