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1821615931
GERALD MIMLITSCH
ELIZABETH CITY, NC
NPI
1821615931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-07-06
Last Update Date
2020-07-06
Business Address
GERALD MIMLITSCH
1431B WEEKSVILLE RD
ELIZABETH CITY, NC 27909-8431
Phone number: 252-677-5100
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Mailing Address
GERALD MIMLITSCH
1431B WEEKSVILLE RD
ELIZABETH CITY, NC 27909-8431
Phone number: 252-677-5100
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