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1255021960
DIVINE WELLNESS PSYCHIATRIC SERVICES
ANTHEM, AZ
NPI
1255021960
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Entity Type
Organization
Authorized Contact
IHEANYU AMANWANNE
Director
602-465-6011
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
DIVINE WELLNESS PSYCHIATRIC SERVICES
3880 W RANIER CT
ANTHEM, AZ 85086-8018
Phone number: 602-465-6011
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Mailing Address
DIVINE WELLNESS PSYCHIATRIC SERVICES
3880 W RANIER CT
ANTHEM, AZ 85086-8018
Phone number: 602-465-6011
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