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1134408214
RENOVUS MEDICAL SPA
GRAY, TN
NPI
1134408214
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Entity Type
Organization
Authorized Contact
KATHY BEARD
Owner
423-207-0154
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: TN 17509)
Enumeration Date
2011-08-08
Last Update Date
2011-08-08
Business Address
RENOVUS MEDICAL SPA
405 ROY MARTIN RD STE 104
GRAY, TN 37615-2551
Phone number: 423-207-0154
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Mailing Address
RENOVUS MEDICAL SPA
405 ROY MARTIN RD STE 104
GRAY, TN 37615-2551
Phone number: 423-207-0154
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