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1245090489
THE MIND CLINIC, LLC
KEIZER, OR
NPI
1245090489
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Entity Type
Organization
Authorized Contact
DADILINE DORCE
Mgr
904-297-8291
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-03-21
Last Update Date
2024-05-03
Business Address
THE MIND CLINIC, LLC
3785 RIVER RD N
KEIZER, OR 97303-5098
Phone number: 503-383-9380
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Mailing Address
THE MIND CLINIC, LLC
PO BOX 57185
JACKSONVILLE, FL 32241-7185
Phone number: 904-297-8291
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