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Organization
REVIVE INK STUDIO, LLC
Active
Organization
REVIVE INK STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIKA LYNN JOHN (OWNER)
(904) 907-0143
Entity
Organization
Contact information
Practice address
12205 COUNTY LINE RD STE F, MADISON, AL 35758-7720
(256) 400-0771
Mailing address
209 WILSON HALL DR, MADISON, AL 35757-8701
(256) 400-0771
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
NULL
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/21/2026
Last updated
09/21/2026
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