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1255051066
TERESA REJUVENATING PSYCHIATRY PLLC
WACO, TX
NPI
1255051066
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Entity Type
Organization
Authorized Contact
MAMBO JINGLA NDINGWAN
CEO
409-356-9778
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-08-31
Last Update Date
2022-09-07
Business Address
TERESA REJUVENATING PSYCHIATRY PLLC
10412 CHINA SPRING RD
WACO, TX 76708-5676
Phone number: 254-717-3066
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Mailing Address
TERESA REJUVENATING PSYCHIATRY PLLC
10412 CHINA SPRING RD
WACO, TX 76708-5676
Phone number: 409-356-9778
Copy
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