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Individual
EDUARDO ANTONIO MIMIAGA
Active
Individual
EDUARDO ANTONIO MIMIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
CO85069
CO
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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