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REVIVE SKIN INSTITUTE LLC
Procedural Dermatology Physician
NPI: 1104178144Organization
Specialties, Licenses & Credentials
Dermatology — Procedural Dermatology
Code: 207NS0135X
036094335(IL)
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Contact & Hours
- Address
- 1175 CEDAR CT, CARBONDALE
CARBONDALE, IL 62901 - Phone
- (619) 549-0300
Quick Facts
- NPI
- 1104178144
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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