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Individual
YLEDEDE MIMI CUMMINGS
Active
Individual
YLEDEDE MIMI CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
584983
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F307549-1
NY
Other
Enumeration date
08/29/2008
Last updated
06/28/2016
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