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1801437645
MEDELA WOUND CARE, LLC
PROVO, UT
NPI
1801437645
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Entity Type
Organization
Authorized Contact
JOSEPH CLARK FYANS
Owner
801-440-3034
Organization Subpart ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
MEDELA WOUND CARE, LLC
2230 N UNIVERSITY PKWY STE 6B
PROVO, UT 84604-1584
Phone number: 801-440-3034
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Mailing Address
MEDELA WOUND CARE, LLC
5064 N RAVENCREST LN
LEHI, UT 84043-7725
Phone number: 801-440-3034
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