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1407409485
PHASE REVERSAL LLC
FT WORTH, TX
NPI
1407409485
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Entity Type
Organization
Authorized Contact
GINA SULLIVAN
Billing Manager
817-529-8488
Organization Subpart ?
No
Primary Taxonomy
204R00000X Electrodiagnostic Medicine
Enumeration Date
2019-07-19
Last Update Date
2019-07-19
Business Address
PHASE REVERSAL LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
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Mailing Address
PHASE REVERSAL LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
Copy
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