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1477375327
REVIVAL FUNCTIONAL NUTRITION PLLC
CHARLOTTE, NC
NPI
1477375327
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Entity Type
Organization
Authorized Contact
BRIAN PRIES
Doctor/Owner
414-397-0860
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2024-10-30
Last Update Date
2024-10-30
Business Address
REVIVAL FUNCTIONAL NUTRITION PLLC
5527 MONROE RD
CHARLOTTE, NC 28212-5503
Phone number: 980-324-3363
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Mailing Address
REVIVAL FUNCTIONAL NUTRITION PLLC
5527 MONROE RD
CHARLOTTE, NC 28212-5503
Phone number: 980-324-3363
Copy
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