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1770247967
LISA MIMS
DENTON, TX
NPI
1770247967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 19652)
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
LISA MIMS SLP
1212 LONG RD
DENTON, TX 76207-4232
Phone number: 940-369-0553
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Mailing Address
LISA MIMS SLP
1701 MONAHAN DR
LANTANA, TX 76226-1365
Phone number: 940-369-0553
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