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1528742814
REVIVE HEALTH AND WELLNESS LLC
CASA GRANDE, AZ
NPI
1528742814
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Entity Type
Organization
Authorized Contact
DIANE HERRERA
Practice Manager
520-483-1698
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2023-06-15
Last Update Date
2023-12-18
Business Address
REVIVE HEALTH AND WELLNESS LLC
1550 E FLORENCE BLVD STE 104
CASA GRANDE, AZ 85122-4788
Phone number: 520-483-6386
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Mailing Address
REVIVE HEALTH AND WELLNESS LLC
1550 E FLORENCE BLVD STE 104
CASA GRANDE, AZ 85122-4788
Phone number: 520-635-5318
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