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1114611886
ANDREA LAUREN MIMS
RALEIGH, NC
NPI
1114611886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
ANDREA LAUREN MIMS
8117 EBENEZER CHURCH RD
RALEIGH, NC 27612-7307
Phone number: 984-263-0654
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Mailing Address
ANDREA LAUREN MIMS
8117 EBENEZER CHURCH RD
RALEIGH, NC 27612-7307
Phone number:
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