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Individual
AMY MARGARET MIMM
Active
Individual
AMY MARGARET MIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PUBLIC HEALTH NURSE
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R131559-0
MN
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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