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1235914300
IMMACULATE MINDS LLC
WOODWAY, TX
NPI
1235914300
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Entity Type
Organization
Authorized Contact
IMMACULATE OKEYO
Pmhnp
281-683-6517
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
IMMACULATE MINDS LLC
9554 BROOKHOLLOW DR
WOODWAY, TX 76712-3207
Phone number: 281-683-6517
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Mailing Address
IMMACULATE MINDS LLC
10412 CHINA SPRING RD STE F
WACO, TX 76708-5685
Phone number:
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