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1235823121
INTEGRATED WOUND CARE SOUTH CAROLINA LLC
COLUMBIA, SC
NPI
1235823121
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Entity Type
Organization
Authorized Contact
DIANE LUSAS
Authorized Official
718-963-3495
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
INTEGRATED WOUND CARE SOUTH CAROLINA LLC
1703 LAUREL ST
COLUMBIA, SC 29201-2660
Phone number: 718-963-3495
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Mailing Address
INTEGRATED WOUND CARE SOUTH CAROLINA LLC
492C CEDAR LN STE 514
TEANECK, NJ 07666-1713
Phone number: 718-963-3495
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