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1205616679
DIVINE MENTAL HEALTHCARE SERVICES LLC
EL PASO, TX
NPI
1205616679
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Entity Type
Organization
Authorized Contact
LAURETTA STUBBS
Owner
915-820-0315
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-10-03
Last Update Date
2023-10-27
Business Address
DIVINE MENTAL HEALTHCARE SERVICES LLC
1900 N MESA ST STE C
EL PASO, TX 79902-3309
Phone number: 915-820-0315
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Mailing Address
DIVINE MENTAL HEALTHCARE SERVICES LLC
1504 PETAYA LN
EL PASO, TX 79912-8497
Phone number: 915-820-0315
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