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1972123073
CHRISTIAN MIMS
TYLER, TX
NPI
1972123073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2147730)
Enumeration Date
2020-04-20
Last Update Date
2023-10-03
Business Address
CHRISTIAN MIMS
900 S BAXTER AVE
TYLER, TX 75701-2209
Phone number: 903-312-3310
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Mailing Address
CHRISTIAN MIMS
16531 JANAN DR
TYLER, TX 75707-7629
Phone number: 903-312-3310
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