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MARISA FORD-MIMMS

Licensed Practical Nurse

NPI: 1073955704Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

305728-1(NY)

Contact & Hours

Address
9 RESERVOIR RD
TAWLING, NY 12564

Quick Facts

NPI
1073955704
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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