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1063985398
MIMI WHITTAKER
UKIAH, CA
NPI
1063985398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
MIMI WHITTAKER
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2367
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Mailing Address
MIMI WHITTAKER
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2367
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