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1356015218
REVOLUTION HEALTH LLC
HENDERSON, NV
NPI
1356015218
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Entity Type
Organization
Authorized Contact
KATIE BASS
Owner
702-703-1202
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2021-08-04
Last Update Date
2022-04-18
Business Address
REVOLUTION HEALTH LLC
6301 MOUNTAIN VISTA ST STE 209
HENDERSON, NV 89014-2364
Phone number: 702-703-1202
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Mailing Address
REVOLUTION HEALTH LLC
6301 MOUNTAIN VISTA ST STE 209
HENDERSON, NV 89014-2364
Phone number: 702-703-1202
Copy
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