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1144069790
PHOENIX RISING TELEPSYCH
PRAIRIE VILLAGE, KS
NPI
1144069790
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Entity Type
Organization
Authorized Contact
JACLYN MCINTYRE
Owner
913-398-2530
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-05-22
Last Update Date
2024-10-30
Business Address
PHOENIX RISING TELEPSYCH
6917 TOMAHAWK RD
PRAIRIE VILLAGE, KS 66208-2618
Phone number: 913-398-2530
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Mailing Address
PHOENIX RISING TELEPSYCH
PO BOX 8544
PRAIRIE VILLAGE, KS 66208-0544
Phone number: 913-398-2530
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