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1750030235
RENEUVIA WOUND CARE LLC
KANSAS CITY, MO
NPI
1750030235
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Entity Type
Organization
Authorized Contact
BRADFORD WALLIS
Owner
816-347-8884
Organization Subpart ?
No
Primary Taxonomy
163WW0000X Registered Nurse, Wound Care
Enumeration Date
2022-03-22
Last Update Date
2023-08-15
Business Address
RENEUVIA WOUND CARE LLC
1501 WESTPORT RD STE 101
KANSAS CITY, MO 64111-4366
Phone number: 816-347-8884
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Mailing Address
RENEUVIA WOUND CARE LLC
205 SW CRAIGMONT DR
LEES SUMMIT, MO 64081-1706
Phone number: 816-347-8884
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