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1225677222
REVIVE & REJUVENATE LLC BLUVIDA
PEARLAND, TX
NPI
1225677222
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Entity Type
Organization
Authorized Contact
STEPHEN LEE
Owner
785-550-1239
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2019-12-23
Last Update Date
2024-06-10
Business Address
REVIVE & REJUVENATE LLC BLUVIDA
3129 KINGSLEY DR STE 640
PEARLAND, TX 77584-8508
Phone number: 281-901-1133
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Mailing Address
REVIVE & REJUVENATE LLC BLUVIDA
4110 ALMEDA RD, PO BOX 8321
HOUSTON, TX 77004-4869
Phone number: 785-550-1239
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