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1720515059
DAVID LEON MIMS
FORT WORTH, TX
NPI
1720515059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2017-05-17
Last Update Date
2018-06-16
Business Address
DAVID LEON MIMS
1412 ROMA LN
FORT WORTH, TX 76134-2304
Phone number: 682-583-4545
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Mailing Address
DAVID LEON MIMS
1412 ROMA LN
FORT WORTH, TX 76134-2304
Phone number:
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