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1437576998
LOUIS REVENIG
ATLANTA, GA
NPI
1437576998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-03-23
Last Update Date
2014-03-23
Business Address
-- LOUIS REVENIG
1412 WEMBLEY CT NE
ATLANTA, GA 30329-3968
Phone number: 423-304-4619
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Mailing Address
-- LOUIS REVENIG
1412 WEMBLEY CT NE
ATLANTA, GA 30329-3968
Phone number: 423-304-4619
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