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1861100828
AZ WOUND CARE MEDICAL GROUP
GILBERT, AZ
NPI
1861100828
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Entity Type
Organization
Authorized Contact
OWEN BERNARDO ELLINGTON
President
713-304-4227
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
AZ WOUND CARE MEDICAL GROUP
3651 E BASELINE RD STE E-230
GILBERT, AZ 85234-2689
Phone number: 323-480-4075
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Mailing Address
AZ WOUND CARE MEDICAL GROUP
5901 W CENTURY BLVD STE 750
LOS ANGELES, CA 90045-5443
Phone number: 323-480-4075
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