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1518576115
KEISHA DESHEA MIMES
LONDON, KY
NPI
1518576115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 264348)
Enumeration Date
2020-07-29
Last Update Date
2021-04-21
Business Address
KEISHA DESHEA MIMES
181 OLD WHITLEY RD
LONDON, KY 40744-8211
Phone number: 606-330-0223
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Mailing Address
KEISHA DESHEA MIMES
368 OXFORD CIR
RICHMOND, KY 40475-8263
Phone number: 606-733-5299
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