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1952928996
GRIFFIN MIMS
TRUCKEE, CA
NPI
1952928996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
GRIFFIN MIMS
10038 MEADOW WAY UNIT D
TRUCKEE, CA 96161-4974
Phone number: 530-426-2210
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Mailing Address
GRIFFIN MIMS
PO BOX 474
KINGS BEACH, CA 96143-0474
Phone number: 308-293-6629
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