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1528100872
RENNODIA R MIMS
WOODLAND, CA
NPI
1528100872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: KS 1049T)
Enumeration Date
2007-02-13
Last Update Date
2017-09-06
Business Address
-- RENNODIA R MIMS TMLP
285 W COURT ST STE 207
WOODLAND, CA 95695-2977
Phone number: 530-758-2160
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Mailing Address
-- RENNODIA R MIMS TMLP
584 KENTUCKY AVE
WOODLAND, CA 95695
Phone number: 530-758-2160
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