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1558838672
JENNIFER MIMKHA
SAINT PETERSBURG, FL
NPI
1558838672
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Former Name
JENNIFER STAFFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND6949)
Enumeration Date
2018-10-26
Last Update Date
2018-10-26
Business Address
JENNIFER MIMKHA MPH RD LDN CLC CLT
11850 DR MARTIN LUTHER KING ST N APT 12304
SAINT PETERSBURG, FL 33716-1631
Phone number: 484-620-2785
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Mailing Address
JENNIFER MIMKHA MPH RD LDN CLC CLT
11850 DR MARTIN LUTHER KING ST N APT 12304
SAINT PETERSBURG, FL 33716-1631
Phone number: 484-620-2785
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