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1306303011
OLIVE BRANCH PSYCHIATRIC SERVICES
OLIVE BRANCH, MS
NPI
1306303011
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Entity Type
Organization
Authorized Contact
TOMIKA WASHINGTON
Owner
662-408-4136
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2019-02-28
Last Update Date
2020-08-04
Business Address
OLIVE BRANCH PSYCHIATRIC SERVICES
6914 AUTUMN OAKS DR STE A
OLIVE BRANCH, MS 38654-9380
Phone number: 662-408-4136
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Mailing Address
OLIVE BRANCH PSYCHIATRIC SERVICES
6914 AUTUMN OAKS DR STE A
OLIVE BRANCH, MS 38654-9380
Phone number: 662-408-4136
Copy
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