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Organization
MATURE RESOURCES FOUNDATION
Active
Organization
MATURE RESOURCES FOUNDATION
Active
Parent organization
MATURE RESOURCES FOUNDATION
Other names
Susquehanna Wellness Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MATURE RESOURCES FOUNDATION
Authorized official
MAUREEN MILLS (CREDENTIALING SPECIALIST)
(814) 577-9385
Entity
Organization
Contact information
Practice address
1924 DAISY STREET EXT REAR SUITEA, CLEARFIELD, PA 16830-3201
(814) 765-2695
Mailing address
PO BOX 986500, BOSTON, MA 02298-6500
(814) 765-2695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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