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Organization
REVIVE WELLNESS CLINIC OF STARKVILLE, LLC
Active
Organization
REVIVE WELLNESS CLINIC OF STARKVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH CLARK (MANAGER)
(662) 801-5795
Entity
Organization
Contact information
Practice address
100 RUSSELL ST STE 19, STARKVILLE, MS 39759-3398
(662) 801-5795
Mailing address
100 RUSSELL ST STE 19, STARKVILLE, MS 39759-3398
(662) 801-5795
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/01/2026
Last updated
10/01/2026
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