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1356951149
ALISHA KAY PREVOST
BEAUMONT, TX
NPI
1356951149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1077025)
Enumeration Date
2020-08-06
Last Update Date
2022-10-27
Business Address
ALISHA KAY PREVOST PMHNP-BC
2750 S 8TH ST
BEAUMONT, TX 77701-7719
Phone number: 409-839-1000
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Mailing Address
ALISHA KAY PREVOST PMHNP-BC
105 CANYON LAKE CIR
LUMBERTON, TX 77657-3701
Phone number: 409-200-2220
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