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1912741182
DIVINE MINDS, LLC
BRANDON, FL
NPI
1912741182
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Entity Type
Organization
Authorized Contact
SHAMIRA LEWIS
Owner, Ap RN
813-255-4987
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-06-22
Last Update Date
2024-06-22
Business Address
DIVINE MINDS, LLC
1506 LEDGESTONE DR
BRANDON, FL 33511-8318
Phone number: 813-732-0303
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Mailing Address
DIVINE MINDS, LLC
1506 LEDGESTONE DR
BRANDON, FL 33511-8318
Phone number: 813-732-0303
Copy
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