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1568278208
WOUNDOLOGY MSO LLC
LAFAYETTE, IN
NPI
1568278208
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Entity Type
Organization
Authorized Contact
PATRICK BENGSTON
Co Founder
800-991-7630
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2024-12-07
Last Update Date
2024-12-07
Business Address
WOUNDOLOGY MSO LLC
615 FERRY ST FL 1
LAFAYETTE, IN 47901-1143
Phone number: 800-991-7630
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Mailing Address
WOUNDOLOGY MSO LLC
8924 ARABELLA LN
SEMINOLE, FL 33777-2649
Phone number: 800-991-7630
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