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1386309318
OAK HAVEN PSYCHIATRY, LLC
BOWLING GREEN, KY
NPI
1386309318
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Entity Type
Organization
Authorized Contact
KIMBERLY ZIMMERMAN
Owner
270-935-5117
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-11-04
Last Update Date
2021-12-05
Business Address
OAK HAVEN PSYCHIATRY, LLC
730 FAIRVIEW AVE STE A5
BOWLING GREEN, KY 42101-2383
Phone number: 270-935-5117
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Mailing Address
OAK HAVEN PSYCHIATRY, LLC
PO BOX 50754
BOWLING GREEN, KY 42102-3954
Phone number: 270-935-5117
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