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REVIVEWAVE THERAPEUTICS LLC

Family Nurse Practitioner

NPI: 1902724776Organization

Specialties, Licenses & Credentials

Nurse Practitioner — Family

Code: 363LF0000X

Nurse Practitioner — Psychiatric/Mental Health

Code: 363LP0808X

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Contact & Hours

Address
6399 GOODMAN RD STE 105
OLIVE BRANCH, MS 38654

Quick Facts

NPI
1902724776
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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