Dr. John Delano Mixon Sr.

BUSINESS ADDRESS:
1205 SHERWOOD PARK DRIVE
Gainesville, GA 30501

ADDRESS & CONTACT INFORMATION

BUSINESS ADDRESS:	1205 SHERWOOD PARK DRIVE Gainesville, GA 30501
PHONE:	(770) 536-0201
FAX:	(770) 531-0000

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Name Prefix		Dr., Mr., Ms.
First Name		John
Middle Name		D., Joe
Last Name		Doe
Name Suffix		O.D.
Address		123 Streetname Ave.
Address Line 2		Suite 108
City		New York
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Postal Code		90210, 90210-1234
Phone		(213) 555-1234
Fax		(213) 555-1234
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