MS. Mimi Marks, M.T.

NPI #1548436488 in Farmer City, Illinois

Provider Information

NPI Number: 1548436488
Entity Type: Individual
Name: MS. Mimi Marks, M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: M.T.
Enumeration Date: Apr 30, 2008
Last Updated: Apr 30, 2008

Practice Location

Address: 120 S MAIN ST
City: Farmer City
State: Illinois
ZIP Code: 61842-1454
Phone: (309) 824-4373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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