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1417736620
AMITY MENTAL WELLNESS LLC
SALEM, OR
NPI
1417736620
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Entity Type
Organization
Authorized Contact
LAURI CODY
Owner Of Entity
813-458-7232
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
AMITY MENTAL WELLNESS LLC
147 COMMERCIAL ST NE STE 7
SALEM, OR 97301-3418
Phone number: 813-458-7232
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Mailing Address
AMITY MENTAL WELLNESS LLC
147 COMMERCIAL ST NE STE 7
SALEM, OR 97301-3418
Phone number: 813-458-7232
Copy
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