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1114484573
REVIVE MEDICAL OF SAN DIEGO
SAN DIEGO, CA
NPI
1114484573
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Entity Type
Organization
Authorized Contact
KEVIN BROWN
Owner/Provider
951-440-1652
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2019-02-21
Last Update Date
2019-02-21
Business Address
REVIVE MEDICAL OF SAN DIEGO
7220 TRADE ST STE 209
SAN DIEGO, CA 92121-2326
Phone number: 858-800-1006
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Mailing Address
REVIVE MEDICAL OF SAN DIEGO
7220 TRADE ST STE 209
SAN DIEGO, CA 92121-2326
Phone number: 858-800-1006
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