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1215162425
KIM MIMS
BRIDGEPORT, CT
NPI
1215162425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: CT # HCA.0000365)
Enumeration Date
2009-05-18
Last Update Date
2009-05-18
Business Address
Ms. KIM MIMS
865 LAUREL AVE
BRIDGEPORT, CT 06604-2406
Phone number: 203-854-6667
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Mailing Address
Ms. KIM MIMS
865 LAUREL AVE
BRIDGEPORT, CT 06604-2406
Phone number: 203-854-6667
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