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Organization

RP WOUND CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS FOUNTAIN COO (COO)
(260) 515-3275
Entity
Organization

Contact information

Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
(888) 803-6843
Mailing address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
(888) 803-6843

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
04/10/2022
Last updated
04/10/2022
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