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1053159996
REVIVING WELLNESS LLC
GILBERT, AZ
NPI
1053159996
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Entity Type
Organization
Authorized Contact
CARRIE MARTINSON
Owner
480-923-9094
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2024-07-16
Last Update Date
2024-08-23
Business Address
REVIVING WELLNESS LLC
3336 E CHANDLER HEIGHTS RD STE 123
GILBERT, AZ 85298-4263
Phone number: 480-923-9094
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Mailing Address
REVIVING WELLNESS LLC
3336 E CHANDLER HEIGHTS RD STE 123
GILBERT, AZ 85298-4263
Phone number: 480-923-9094
Copy
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