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Organization
REVIVE CHIROPRACTIC GROUP, INC
Active
Organization
REVIVE CHIROPRACTIC GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM VY DC (TRESURER)
(714) 495-1100
Entity
Organization
Contact information
Practice address
10530 KNOTT AVE, STANTON, CA 90680-1915
(714) 406-2092
(714) 839-8145
Mailing address
10530 KNOTT AVE, STANTON, CA 90680-1915
(714) 406-2092
(714) 839-8145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
11/09/2021
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