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Organization
CRANBERRY BLOSSOM NUTRITION & WELLNESS, LLC
Active
Organization
CRANBERRY BLOSSOM NUTRITION & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH THIBODEAU DTR, ACE-CHC (OWNER)
(907) 240-3267
Entity
Organization
Contact information
Practice address
236 OLD DIVIDE RD, ROUNDUP, MT 59072-6829
(907) 240-3267
Mailing address
236 OLD DIVIDE RD, ROUNDUP, MT 59072-6829
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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