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1992002695
REVIVE HEALTH MEDICAL SUPPLIES
GRAND PRAIRIE, TX
NPI
1992002695
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Entity Type
Organization
Authorized Contact
MARTIN JONES
Owner/PT
972-263-7042
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2011-02-16
Last Update Date
2011-02-16
Business Address
REVIVE HEALTH MEDICAL SUPPLIES
504 N CARRIER PKWY
GRAND PRAIRIE, TX 75050-5428
Phone number: 972-263-7042
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Mailing Address
REVIVE HEALTH MEDICAL SUPPLIES
PO BOX 92282
SOUTHLAKE, TX 76092-0103
Phone number: 972-263-7042
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