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1255090510
MAGNOLIA PSYCHIATRY
LOUISVILLE, KY
NPI
1255090510
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Entity Type
Organization
Authorized Contact
ANGEL SQUIRE
Owner
615-813-0726
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-12-14
Last Update Date
2022-02-03
Business Address
MAGNOLIA PSYCHIATRY
312 S 4TH ST STE 700
LOUISVILLE, KY 40202-3046
Phone number: 615-813-0726
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Mailing Address
MAGNOLIA PSYCHIATRY
4523 SHADY PLACE CT
BOWLING GREEN, KY 42104-4423
Phone number: 937-285-0414
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