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1306686274
REVIVIFY MEDICAL SUPPLY LLC
STOCKBRIDGE, GA
NPI
1306686274
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Entity Type
Organization
Authorized Contact
KRISTINA ADAH
Owner
504-612-4202
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
REVIVIFY MEDICAL SUPPLY LLC
3200 N HENRY BLVD STE C
STOCKBRIDGE, GA 30281-4666
Phone number: 504-612-4202
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Mailing Address
REVIVIFY MEDICAL SUPPLY LLC
3200 N HENRY BLVD STE C
STOCKBRIDGE, GA 30281-4666
Phone number: 504-612-4202
Copy
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