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1720783780
MARY YATES CODRICK
TALLAHASSEE, FL
NPI
1720783780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11023498)
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
MARY YATES CODRICK PMHNP-BC
9729 FARAWAY FARM RD
TALLAHASSEE, FL 32317-1603
Phone number: 850-294-4978
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Mailing Address
MARY YATES CODRICK PMHNP-BC
9729 FARAWAY FARM RD
TALLAHASSEE, FL 32317-1603
Phone number: 850-294-4978
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