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1730648304
REVITALIZE WELLNESS GROUP CORP
WILSONVILLE, OR
NPI
1730648304
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Entity Type
Organization
Authorized Contact
LORI R DORMAN
President
503-786-9062
Organization Subpart ?
No
Primary Taxonomy
175F00000X Naturopath
Enumeration Date
2019-03-13
Last Update Date
2019-03-13
Business Address
REVITALIZE WELLNESS GROUP CORP
29781 SW TOWN CENTER LOOP W STE 700
WILSONVILLE, OR 97070-8901
Phone number: 503-786-9062
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Mailing Address
REVITALIZE WELLNESS GROUP CORP
2715 SE MONROE ST
MILWAUKIE, OR 97222-7631
Phone number: 503-786-9062
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