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699 W Rialto Ave Unit B San Bernardino CA 92410-3327 | |
(312) 728-3509 | |
(312) 312-7364 |
Full Name | |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 699 W Rialto Ave Unit B, San Bernardino, California |
Authorized Official Name and Position | Cassandra Govan (CEO) |
Authorized Official Contact | 6308802150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1074 Peachtree Walk Ne Unit B503 Atlanta GA 30309-3968 Ph: (630) 880-2150 | 699 W Rialto Ave Unit B San Bernardino CA 92410-3327 Ph: (312) 728-3509 |
NPI Number | 1265140875 |
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Provider Enumeration Date | 11/11/2022 |
Last Update Date | 02/14/2024 |
Certification Date | 02/14/2024 |
Identifier | Type | State | Issuer |
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1265140875 | NPI | - | NPPES |
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