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1700596145
MIND DOJO LLC
SAN DIEGO, CA
NPI
1700596145
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Entity Type
Organization
Authorized Contact
DEVAUGHN DAVIS
Owner
951-477-7745
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
MIND DOJO LLC
600 W BROADWAY STE 700
SAN DIEGO, CA 92101-3370
Phone number: 951-477-7745
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Mailing Address
MIND DOJO LLC
600 W BROADWAY STE 700
SAN DIEGO, CA 92101-3370
Phone number: 951-477-7745
Copy
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