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1285261123
REVITALIZE HYDRATION THERAPY, LLC
FLOWOOD, MS
NPI
1285261123
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Entity Type
Organization
Authorized Contact
JENNYE MARDIS
Staff
601-213-0069
Organization Subpart ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
Enumeration Date
2020-03-23
Last Update Date
2020-11-10
Business Address
REVITALIZE HYDRATION THERAPY, LLC
885 LIBERTY RD STE 300
FLOWOOD, MS 39232-9006
Phone number: 601-213-0069
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Mailing Address
REVITALIZE HYDRATION THERAPY, LLC
885 LIBERTY RD STE 300
FLOWOOD, MS 39232-9006
Phone number: 601-213-0069
Copy
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