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1538839832
NERVE RENEWAL GROUP LLC
OKLAHOMA CITY, OK
NPI
1538839832
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Entity Type
Organization
Authorized Contact
TIM BALES
Authorized Official
405-495-9270
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-09-17
Last Update Date
2021-09-17
Business Address
NERVE RENEWAL GROUP LLC
3705 NW 63RD ST STE 101
OKLAHOMA CITY, OK 73116-1937
Phone number: 405-495-9270
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Mailing Address
NERVE RENEWAL GROUP LLC
3908 N PENIEL AVE STE 450
BETHANY, OK 73008-3402
Phone number: 405-495-7391
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