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1700469442
MIMI CHAN
ELMIRA, NY
NPI
1700469442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 347650)
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
MIMI CHAN NP
600 ROE AVE # 1A
ELMIRA, NY 14905-1629
Phone number: 607-737-4130
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Mailing Address
MIMI CHAN NP
571 SAINT JOSEPHS BLVD FL 2
ELMIRA, NY 14901-3230
Phone number: 607-271-2094
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