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1538982533
REVITAWOUND INCORPORATED
BURBANK, CA
NPI
1538982533
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Entity Type
Organization
Authorized Contact
JENNIFER MATA
Owner
562-506-6577
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2024-11-07
Last Update Date
2024-11-19
Business Address
REVITAWOUND INCORPORATED
146 N SAN FERNANDO BLVD STE 213
BURBANK, CA 91502-1230
Phone number: 562-506-6577
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Mailing Address
REVITAWOUND INCORPORATED
146 N SAN FERNANDO BLVD STE 213
BURBANK, CA 91502-1230
Phone number: 562-506-6577
Copy
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