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1013755412
REVIVE-
THE WOODLANDS, TX
NPI
1013755412
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Entity Type
Organization
Authorized Contact
LAFREDDRIA A HANNIBLE
Director
262-510-3784
Organization Subpart ?
No
Primary Taxonomy
343800000X Secured Medical Transport (VAN)
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
REVIVE-
9450 PINECROFT DR
THE WOODLANDS, TX 77380-3220
Phone number: 262-510-3784
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Mailing Address
REVIVE-
4029 N 72ND ST
MILWAUKEE, WI 53216-1033
Phone number: 262-510-3784
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C AND R ENTERPRICE
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