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1063661809
MIMI'S
AUSTIN, TX
NPI
1063661809
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Entity Type
Organization
Authorized Contact
PAT CANTER BRENNER
Owner/Operator
512-470-5943
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2008-09-17
Last Update Date
2008-09-17
Business Address
MIMI'S
12636 RESEARCH BLVD SUITE C 109
AUSTIN, TX 78759-2200
Phone number: 512-470-5943
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Mailing Address
MIMI'S
12636 RESEARCH BLVD SUITE C 109
AUSTIN, TX 78759-2200
Phone number: 512-470-5943
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