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1255112645
BRAIN FIRST FAMILY CENTER LLC
LENEXA, KS
NPI
1255112645
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Entity Type
Organization
Authorized Contact
RYAN K JOLLY
Owner
913-399-1924
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-10-11
Last Update Date
2023-10-11
Business Address
BRAIN FIRST FAMILY CENTER LLC
8700 MONROVIA ST STE 310
LENEXA, KS 66215-3500
Phone number: 913-399-1924
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Mailing Address
BRAIN FIRST FAMILY CENTER LLC
15621 W 87TH ST # 264
LENEXA, KS 66219-1435
Phone number: 913-399-1924
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