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1780158287
REJUVENATION MEDSPA
BRIDGEPORT, WV
NPI
1780158287
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Entity Type
Organization
Authorized Contact
TIMOTHY MICHAEL PEASAK
Owner/Provider
304-841-1293
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-01-17
Last Update Date
2019-01-17
Business Address
REJUVENATION MEDSPA
1400 JOHNSON AVE STE 4A
BRIDGEPORT, WV 26330-1063
Phone number: 304-848-9998
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Mailing Address
REJUVENATION MEDSPA
1400 JOHNSON AVE STE 4A
BRIDGEPORT, WV 26330-1063
Phone number: 304-848-9998
Copy
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