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1871107474
MIMO MEDICAL SERVICES, LLC
MAGNOLIA, AR
NPI
1871107474
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Entity Type
Organization
Authorized Contact
MIMO LEMDJA
Authorized Official
479-530-1308
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2020-09-02
Last Update Date
2020-09-02
Business Address
MIMO MEDICAL SERVICES, LLC
2506 CRESTVIEW DR
MAGNOLIA, AR 71753-4336
Phone number: 479-530-1308
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Mailing Address
MIMO MEDICAL SERVICES, LLC
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 800-824-4094
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