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1962056929
REGINA L MIMS
LAKEWOOD, WA
NPI
1962056929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
REGINA L MIMS
8815 S TACOMA WAY STE 122
LAKEWOOD, WA 98499-7011
Phone number: 253-682-0320
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Mailing Address
REGINA L MIMS
8815 S TACOMA WAY STE 122
LAKEWOOD, WA 98499-7011
Phone number: 253-682-0320
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