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Organization
MIND BODY NURSE PRACTITIONER INC
Active
Organization
MIND BODY NURSE PRACTITIONER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BRILEE FNP-BC (PRESIDENT)
(951) 966-7730
Entity
Organization
Contact information
Practice address
1347 HUCKLEBERRY LN, SAN JACINTO, CA 92582-4219
(951) 966-7730
(417) 890-9127
Mailing address
1347 HUCKLEBERRY LN, SAN JACINTO, CA 92582-4219
(951) 966-7730
(417) 890-9127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000404
CA
Other
Enumeration date
05/25/2015
Last updated
05/25/2015
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