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1881397396
DERICK MIMBA
SILVER SPRING, MD
NPI
1881397396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
DERICK MIMBA
14333 ROSETREE CT
SILVER SPRING, MD 20906-1939
Phone number: 410-710-7481
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Mailing Address
DERICK MIMBA
14333 ROSETREE CT
SILVER SPRING, MD 20906-1939
Phone number: 410-710-7481
Copy
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