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1649992652
BODY AND MIND HEALTHCARE SERVICES LLC
CLOVIS, CA
NPI
1649992652
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Entity Type
Organization
Authorized Contact
MARCEL FOMOTAR
Owner
408-449-6623
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
BODY AND MIND HEALTHCARE SERVICES LLC
1085 SANDERS AVE
CLOVIS, CA 93619-3935
Phone number: 408-449-6623
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Mailing Address
BODY AND MIND HEALTHCARE SERVICES LLC
1085 SANDERS AVE
CLOVIS, CA 93619-3935
Phone number: 408-449-6623
Copy
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