REVIVE CLINIC LLC

OKLAHOMA CITY, OK
NPI1518460047
Entity TypeOrganization
Authorized ContactJEREMY CARTER
Partner
405-392-3300
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2018-03-12
Last Update Date2018-03-12
Business Address
REVIVE CLINIC LLC
13316 S WESTERN AVE STE F
OKLAHOMA CITY, OK 73170-7309
Phone number: 405-703-8882
Mailing Address
REVIVE CLINIC LLC
13316 S WESTERN AVE STE F
OKLAHOMA CITY, OK 73170-7309
Phone number: 405-703-8882
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