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1558793828
JOHANNAH RUTH REVELLE
DALLAS, TX
NPI
1558793828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2013-08-08
Last Update Date
2015-09-24
Business Address
Ms. JOHANNAH RUTH REVELLE CNIM, R. EPT.
25 HIGHLAND PARK VLG SUITE 100-225
DALLAS, TX 75205-2789
Phone number: 214-536-1647
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Mailing Address
Ms. JOHANNAH RUTH REVELLE CNIM, R. EPT.
25 HIGHLAND PARK VLG SUITE 100-225
DALLAS, TX 75205-2789
Phone number: 214-536-1647
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