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1588166094
REVIVE REJUVENATION CENTER ANTI AGING REGENERATIVE CENTER INC
LA JOLLA, CA
NPI
1588166094
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Entity Type
Organization
Authorized Contact
MICHELLE GUTIERREZ
Credentialing Specialist
619-501-6278
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2018-03-01
Last Update Date
2018-03-21
Business Address
REVIVE REJUVENATION CENTER ANTI AGING REGENERATIVE CENTER INC
7509 DRAPER AVE STE A
LA JOLLA, CA 92037-4857
Phone number: 858-352-6200
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Mailing Address
REVIVE REJUVENATION CENTER ANTI AGING REGENERATIVE CENTER INC
7509 DRAPER AVE
LA JOLLA, CA 92037-4862
Phone number: 858-352-6200
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