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1689456691
DIVINE BEHAVIORAL HEALTH CLINIC PLLC
DALLAS, TX
NPI
1689456691
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Entity Type
Organization
Authorized Contact
IJEOMA E OSUJI
Owner
817-874-2965
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-10-16
Last Update Date
2023-10-19
Business Address
DIVINE BEHAVIORAL HEALTH CLINIC PLLC
539 W COMMERCE ST STE 5507
DALLAS, TX 75208-1953
Phone number: 817-874-2965
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Mailing Address
DIVINE BEHAVIORAL HEALTH CLINIC PLLC
803 MERYTON CT
MANSFIELD, TX 76063-4337
Phone number: 178-742-9658
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