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Organization
FRONTIER REGENERATION GROUP LLC
Active
Organization
FRONTIER REGENERATION GROUP LLC
Active
Other names
NewDawn Mobile Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TISDALE (PARTNER)
(216) 224-6402
Entity
Organization
Contact information
Practice address
601 NW 198TH ST, EDMOND, OK 73012-1317
(216) 224-6402
Mailing address
601 NW 198TH ST, EDMOND, OK 73012-1317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/26/2025
Last updated
06/09/2026
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