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1174255046
CALEB MIMS
ALBUQUERQUE, NM
NPI
1174255046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2023-0294)
Enumeration Date
2022-06-28
Last Update Date
2024-01-04
Business Address
CALEB MIMS
1401 WILLIAM ST SE
ALBUQUERQUE, NM 87102-4661
Phone number: 505-768-5450
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Mailing Address
CALEB MIMS
1401 WILLIAM ST SE
ALBUQUERQUE, NM 87102-4661
Phone number:
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