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Organization
REFINED RECOVERY & WELLNESS
Active
Organization
REFINED RECOVERY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIYANA THOMAS RN (NURSING SUPERVISOR)
(804) 807-2278
Entity
Organization
Contact information
Practice address
320 N FREDERICK ST # 2201, CAPE GIRARDEAU, MO 63701-9998
(804) 807-2278
Mailing address
320 N FREDERICK ST # 2201, CAPE GIRARDEAU, MO 63701-9998
(804) 807-2278
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
—
NULL
163WM1400X
Nurse Massage Therapist (NMT)
Primary
—
—
Other
Enumeration date
07/25/2026
Last updated
07/25/2026
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