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1861264285
ILLUME INTEGRATIVE PSYCHIATRY, LLC
ASHLAND, OR
NPI
1861264285
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Entity Type
Organization
Authorized Contact
JULIANA M AYRES
Owner
541-422-3851
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-10-30
Last Update Date
2024-03-05
Business Address
ILLUME INTEGRATIVE PSYCHIATRY, LLC
190 OAK ST APT 4
ASHLAND, OR 97520-1886
Phone number: 541-261-9789
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Mailing Address
ILLUME INTEGRATIVE PSYCHIATRY, LLC
190 OAK ST APT 4
ASHLAND, OR 97520-1886
Phone number: 541-422-3851
Copy
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