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1891452371
REVITALIZE CHIROPRACTIC, LLC
FARGO, ND
NPI
1891452371
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Entity Type
Organization
Authorized Contact
GARRETT KEITH SCHULTZ
Chiropractor/Owner
701-532-1672
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
REVITALIZE CHIROPRACTIC, LLC
4575 23RD AVE S STE 1100
FARGO, ND 58104-9052
Phone number: 701-532-1672
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Mailing Address
REVITALIZE CHIROPRACTIC, LLC
26748 130TH AVE N
ULEN, MN 56585-9629
Phone number: 701-212-3632
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