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1285936724
ANNALEE MIMS GRANT
LUBBOCK, TX
NPI
1285936724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 748205)
Enumeration Date
2010-12-02
Last Update Date
2016-11-09
Business Address
-- ANNALEE MIMS GRANT APN
301 40TH ST
LUBBOCK, TX 79404-2746
Phone number: 806-743-9355
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Mailing Address
-- ANNALEE MIMS GRANT APN
301 40TH ST
LUBBOCK, TX 79404-2746
Phone number: 806-743-9355
Copy
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