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1649983958
RILEY MIMS
DOUGLAS, GA
NPI
1649983958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA PCET003756)
Enumeration Date
2023-01-02
Last Update Date
2023-01-02
Business Address
RILEY MIMS
618 BOWENS MILL RD SW
DOUGLAS, GA 31533-3926
Phone number: 912-331-0846
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Mailing Address
RILEY MIMS
618 BOWENS MILL RD SW
DOUGLAS, GA 31533-3926
Phone number: 912-331-0846
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