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1790548105
REVITAL HEALTH AND WELLNESS PLLC
FRISCO, TX
NPI
1790548105
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Entity Type
Organization
Authorized Contact
NANCY C IFEMESIA
Ap RN
631-220-8213
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2024-01-31
Last Update Date
2024-09-23
Business Address
REVITAL HEALTH AND WELLNESS PLLC
5550 WARREN PKWY STE 110
FRISCO, TX 75034-7399
Phone number: 631-220-8213
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Mailing Address
REVITAL HEALTH AND WELLNESS PLLC
5550 WARREN PKWY STE 110
FRISCO, TX 75034-7399
Phone number:
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