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Individual
KIM MINSHEW
Active
Individual
KIM MINSHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
CPSS-5-11-15-4
AL
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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