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1215567185
GENESIS RENEWAL, INC.
BIXBY, OK
NPI
1215567185
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Entity Type
Organization
Authorized Contact
REBECCA B WILLIAMSON
Owner
918-685-2896
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-01-20
Last Update Date
2023-01-13
Business Address
GENESIS RENEWAL, INC.
12810 S MEMORIAL DR UNIT 307
BIXBY, OK 74008-5506
Phone number: 918-685-2896
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Mailing Address
GENESIS RENEWAL, INC.
12810 S MEMORIAL DR UNIT 307
BIXBY, OK 74008-5506
Phone number: 918-685-2896
Copy
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