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1164070009
VITAM REVIVERE CORPORATION
WOODLAND, CA
NPI
1164070009
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Entity Type
Organization
Authorized Contact
DONALD ROBERT SIGGINS
Psychologist
530-591-7284
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
VITAM REVIVERE CORPORATION
327 COLLEGE ST STE 206
WOODLAND, CA 95695-3484
Phone number: 916-288-7484
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Mailing Address
VITAM REVIVERE CORPORATION
327 COLLEGE ST STE 206
WOODLAND, CA 95695-3484
Phone number: 916-288-7484
Copy
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