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1154610400
BRIAN ALAN MIMS
SAN DIEGO, CA
NPI
1154610400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA OT11609)
Enumeration Date
2011-04-06
Last Update Date
2011-04-25
Business Address
-- BRIAN ALAN MIMS Occupational Therapy
6153 FAIRMOUNT AVE SUITE 260
SAN DIEGO, CA 92120-3443
Phone number: 619-481-3790
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Mailing Address
-- BRIAN ALAN MIMS Occupational Therapy
6153 FAIRMOUNT AVE SUITE 260
SAN DIEGO, CA 92120-3443
Phone number: 619-481-3790
Copy
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