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1275093114
CHANTELLE MIMS
WARREN, MI
NPI
1275093114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 5151013591)
Enumeration Date
2019-03-25
Last Update Date
2022-09-29
Business Address
CHANTELLE MIMS DO
11800 E 12 MILE RD
WARREN, MI 48093-3472
Phone number: 586-573-5000
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Mailing Address
CHANTELLE MIMS DO
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone number: 734-246-8004
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