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1528084266
ADVANCED WOUND CARE LLC
SPRINGFIELD, IL
NPI
1528084266
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Entity Type
Organization
Authorized Contact
ROXANNE LEISKY
Owner
217-698-3505
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2006-07-14
Last Update Date
2008-01-16
Business Address
ADVANCED WOUND CARE LLC
2524 FARRAGUT DR # C
SPRINGFIELD, IL 62704-8400
Phone number: 217-698-3505
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Mailing Address
ADVANCED WOUND CARE LLC
426 TYRONE DR
FORSYTH, IL 62535-1069
Phone number: 217-698-3505
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