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1710726922
KELLIE MIMS
MEMPHIS, TN
NPI
1710726922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: TN 5320)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
KELLIE MIMS
116 N PAULINE ST
MEMPHIS, TN 38104-1005
Phone number: 901-523-8990
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Mailing Address
KELLIE MIMS
4625 BAKERSFIELD DR
NESBIT, MS 38651-6036
Phone number: 901-634-5312
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