NEARLY ME SILICONE SECURITY STRIPS MANUFACTURED BY NEARLY ME TECHNOLOGIES, INC.

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Request for Information Form	Contact Information
Company Name	NEARLY ME TECHNOLOGIES, INC.
Address	3630 SOUTH I-35, SUITE A
City, State, Zip	WACO, TX 76706
Country	US
FDA Owner/Operator Phone	254-662-1752
FDA Medical Specialty Code	SU - General Plastic Surgery
FDA Product Code	GBJ
FDA Classification Name	PROSTHESIS, ADHESIVE, EXTERNAL
FDA Device Classification Code	General Controls
FDA Regulation Number	878.3750
FDA Common Generic Name	SILICONE PROSTHESIS ADHESIVE
FDA Proprietary Device Name	NEARLY ME SILICONE SECURITY STRIPS
FDA Owner / Operator Number	9082119
FDA Owner / Operator Name	NEARLY ME TECHNOLOGIES, INC.
FDA Establishment Registration Number	1650562
FDA Registered Establishment Name	NEARLY ME TECHNOLOGIES, INC.
FDA Operation Code(s)	MM - Manufacturer MS - Specification Developer
FDA Listing Date	08-04-06
FDA Listing Status Code	Active
Differentiation	N/A
Keywords	N/A
Description	N/A
Brochure	N/A
Product Website	N/A

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1	AMOENA MEDIZIN-ORTHOPADIE-TECHNIK GMBH KAPELLENWEG 36 RAUBLING, BAVARIA, D-83064 GM 49-80-358710 / 49-80-35871152	AMOENA CONTACT BREAST FORMS, MULTIPLE	AMOENA CONTACT BREAST FORMS, VARIOUS TYPES & SIZES
2	ATOS MEDICAL AB KRAFTGATAN 8 HORBY, SE-24222 SW 46-415-198 00 / 46-415-198 00	PROVOX SILICONE GLUE	EXTERNAL ADHESIVE FOR PROSTHESIS
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5	FACTOR, II, INC. 5642 WHITE MOUNTAIN AVE. LAKESIDE, AZ 85929 US 928-537-8387 / 928-537-8387 224	ADHESIVE	ADHESIVE
6	HARRY J. BOSWORTH CO. 7227 NORTH HAMLIN AVE. SKOKIE, IL 60076 US 847-679-3400 / 847-679-3400	TAC	TAC
7	PLASTODENT 2881 MIDDLETOWN RD. BRONX, NY 10461 US 718-792-3554 / 718-792-3554	PLASTODENT DENTAL IMPRESSION ADHESIVE	DENTAL IMPRESSION ADHESIVE
8	SMITHS MEDICAL ASD, INC. 5700 WEST 23RD AVE. GARY, IN 46406 US 114-420-8-458-3232 / 614-791-5568	LIQUID SILICONE ADHESIVE	LIQUID SILICONE ADHESIVE
9	UROCARE PRODUCTS, INC. 2735 MELBOURNE AVE. POMONA, CA 91767 US 909-621-6013 / 909-621-6013 15	URO-BOND SILICONE ADHESIVE	SILICONE ADHESIVE, EXTERNAL USE ONLY