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1295376374
TATJANA MICHELE MIMES
OPELOUSAS, LA
NPI
1295376374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA 207499)
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
TATJANA MICHELE MIMES CPNP
3975 I 49 S SERVICE RD STE 201
OPELOUSAS, LA 70570-0775
Phone number: 337-407-2795
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Mailing Address
TATJANA MICHELE MIMES CPNP
3975 I 49 S SERVICE RD STE 201
OPELOUSAS, LA 70570-0775
Phone number: 337-407-2795
Copy
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