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1942975180
REVITALIZE ALABAMA L.L.C
AUBURN, AL
NPI
1942975180
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Entity Type
Organization
Authorized Contact
TRAVIS WOODLEY
President
334-734-7973
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-08-10
Last Update Date
2021-10-06
Business Address
REVITALIZE ALABAMA L.L.C
105 1ST STREET
AUBURN, AL 36830-0000
Phone number: 334-734-7973
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Mailing Address
REVITALIZE ALABAMA L.L.C
PO BOX 2738
OPELIKA, AL 36803-2738
Phone number: 334-734-7973
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