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1316728579
MINDSPACE NP
SIMI VALLEY, CA
NPI
1316728579
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Entity Type
Organization
Authorized Contact
TANG SHAOQING
Owner
805-955-0532
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
MINDSPACE NP
2925 SYCAMORE DR STE 105
SIMI VALLEY, CA 93065-1208
Phone number: 805-955-0532
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Mailing Address
MINDSPACE NP
7246 RHEA AVE
RESEDA, CA 91335-2717
Phone number:
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