REVITALIZE CHIROPRACTIC LLC

OMAHA, NE
NPI1467702951
Entity TypeOrganization
Authorized ContactTIMOTHY JOHN SULLIVAN
Chiropractor
402-592-7686
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: NE  1726)
Enumeration Date2012-09-12
Last Update Date2013-01-23
Business Address
REVITALIZE CHIROPRACTIC LLC
8013 L ST
OMAHA, NE 68127
Phone number: 402-592-7686
Mailing Address
REVITALIZE CHIROPRACTIC LLC
8013 L ST
OMAHA, NE 68127
Phone number: 402-592-7686
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