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1013550987
REJUVENTA MEDICAL CORP.
CENTRALIA, WA
NPI
1013550987
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Entity Type
Organization
Authorized Contact
GUITO C WINGFIELD
President
917-494-1002
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2019-10-23
Last Update Date
2023-10-17
Business Address
REJUVENTA MEDICAL CORP.
1755 KRESKY AVE.
CENTRALIA, WA 98531
Phone number: 360-669-0098
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Mailing Address
REJUVENTA MEDICAL CORP.
1755 KRESKY AVE. BOX 16
CENTRALIA, WA 98531
Phone number: 360-669-0098
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