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Organization

FAYETTEVILLE VA MEDICAL CENER

Active
Parent organization
VETERAN'S ADMISTRATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
VETERAN'S ADMISTRATION
Authorized official
DR. YOSHIKO YAMAMOTO PHD (PSYCHOLOGIST)
(910) 488-2120
Entity
Organization

Contact information

Practice address
1111 SHELL DR, APT 60, SPRING LAKE, NC 28390-2050
(910) 488-2120
Mailing address
1111 SHELL DR, APT 60, SPRING LAKE, NC 28390-2050
(910) 488-2120

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
PS017236
PA

Other

Enumeration date
02/06/2015
Last updated
02/06/2015
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