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Mickey Phan
Student in an Organized Health Care Education/Training Program in Oxford, Mississippi
NPI 1568113165

Mickey Phan is a Student in an Organized Health Care Education/Training Program based in Clinton, MS. Mickey Phan practices in Oxford, MS. The NPI Number for Mickey Phan is 1568113165 and holds a License No. (Mississippi).

The current practice location address for Mickey Phan is University Ave, Oxford, MS and can be reached out via phone at 601-910-8551.

Location: University Ave, Oxford, MS, 39056-5524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568113165
Provider Name
Mickey Phan
Credential
Provider Entity Type
Individual
Gender
Male
Address
University Ave, Oxford, MS, 39056-5524
Phone Number
601-910-8551
Fax Number
Provider Enumeration Date
01/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
University Ave
City
Oxford
State
Mississippi
Zip
38655
Phone Number
601-910-8551
Fax Number
person
Provider Business Mailing Address Details
Address
University Ave
City
Oxford
State
Mississippi
Zip
38655
Phone Number
601-910-8551
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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