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1467073098
REVIVE MEDICAL SUPPLIES
LOS ANGELES, CA
NPI
1467073098
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Entity Type
Organization
Authorized Contact
CORY JACOBSEN
CEO
949-390-9105
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2020-05-05
Last Update Date
2023-01-04
Business Address
REVIVE MEDICAL SUPPLIES
1617 S BURLINGTON AVE
LOS ANGELES, CA 90006-2567
Phone number: 949-390-9105
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Mailing Address
REVIVE MEDICAL SUPPLIES
PO BOX 811457
LOS ANGELES, CA 90081-0008
Phone number: 949-390-9105
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