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1104682590
REVITALIZED WELLNESS
DUNCANVILLE, TX
NPI
1104682590
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Entity Type
Organization
Authorized Contact
CHARMEKA LIPSCOMB
Owner
972-838-0652
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
REVITALIZED WELLNESS
1043 MEADOW RUN DR
DUNCANVILLE, TX 75137-3599
Phone number: 972-838-0652
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Mailing Address
REVITALIZED WELLNESS
539 W COMMERCE ST # 4182
DALLAS, TX 75208-1953
Phone number:
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