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1992401228
MGT PSYCH LLC
MESA, AZ
NPI
1992401228
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Entity Type
Organization
Authorized Contact
JAMEELAH WILSON
Owner
480-430-0721
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-02-07
Last Update Date
2023-02-07
Business Address
MGT PSYCH LLC
7117 E PERALTA CIR
MESA, AZ 85212-9825
Phone number: 480-430-0721
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Mailing Address
MGT PSYCH LLC
7316 E SOUTHERN AVE UNIT 6091
MESA, AZ 85216-5005
Phone number:
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