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1528578499
REVIVE MEDICAL LLC
OKLAHOMA CITY, OK
NPI
1528578499
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Entity Type
Organization
Authorized Contact
KEVIN BROWN
Owner
405-673-7856
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2017-10-05
Last Update Date
2018-08-22
Business Address
REVIVE MEDICAL LLC
4215 N CLASSEN BLVD STE 103
OKLAHOMA CITY, OK 73118
Phone number: 951-440-1652
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Mailing Address
REVIVE MEDICAL LLC
4215 N CLASSEN BLVD STE 103
OKLAHOMA CITY, OK 73118-2431
Phone number: 405-673-7856
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