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1073343828
MARVIS MIMBA
OKLAHOMA CITY, OK
NPI
1073343828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: OK 219763)
Enumeration Date
2024-08-06
Last Update Date
2024-11-10
Business Address
MARVIS MIMBA
4101 PERIMETER CENTER DR
OKLAHOMA CITY, OK 73112-2302
Phone number: 563-766-7014
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Mailing Address
MARVIS MIMBA
2828 NW 57TH ST
OKLAHOMA CITY, OK 73112-6814
Phone number: 405-418-4777
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