IRVING L MIMS

NEWARK, DE
NPI1649876897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence:   1818500)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
IRVING L MIMS CPT
812 PENCADER DR UNIT B
NEWARK, DE 19702-3365
Phone number: 302-533-5616
Mailing Address
IRVING L MIMS CPT
812 PENCADER DR UNIT B
NEWARK, DE 19702-3365
Phone number: 302-533-5616
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