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Mabley was born into a family of twelve children in Brevard, North Carolina in 1894. Her father, James P. Aiken, owned and operated several businesses while her mother, Mary, kept home and took in boarders. Her father died a sudden accidental death when she was eleven. By the age of fifteen Mabley had reportedly been raped twice and had two children that were given up for adoption. After being pressured by her stepfather to marry a much older man and encouraged by her grandmother to strike out on her own, she ran away to Cleveland, Ohio with a traveling minstrel show where she began singing and entertaining.
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