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1093598302
EVIBRANT MENTAL WELLNESS
LONGVIEW, TX
NPI
1093598302
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Entity Type
Organization
Authorized Contact
KEISHA MARSOLAN
Owner/CEO
903-452-0680
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
EVIBRANT MENTAL WELLNESS
3122 NEALY WAY STE 201
LONGVIEW, TX 75605-1092
Phone number: 903-833-9875
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Mailing Address
EVIBRANT MENTAL WELLNESS
1704 NORTHWOOD CT
LONGVIEW, TX 75605-2304
Phone number:
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