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1093357691
RANVIER IOM PLLC
FT WORTH, TX
NPI
1093357691
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Entity Type
Organization
Authorized Contact
GINA SULLIVAN
Billing Manager
817-529-8488
Organization Subpart ?
No
Primary Taxonomy
204R00000X Electrodiagnostic Medicine
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
RANVIER IOM PLLC
111 BOLAND ST #211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
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Mailing Address
RANVIER IOM PLLC
43422 W OAKS DR # 430
NOVI, MI 48377-3300
Phone number:
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