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1790003861
REVITALISONG HOPE LLC
GUTHRIE, OK
NPI
1790003861
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Entity Type
Organization
Authorized Contact
BOBBY H. LONG
President
405-831-3202
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2010-05-13
Last Update Date
2010-05-13
Business Address
REVITALISONG HOPE LLC
3321 IRON MOUND ROAD
GUTHRIE, OK 73044
Phone number: 405-831-3202
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Mailing Address
REVITALISONG HOPE LLC
2231 IRON MOUND RD
GUTHRIE, OK 73044-5778
Phone number: 405-282-6305
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