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Organization

CREATIVE WELLNESS GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN IDA GARGUIOLO LMT (OWNER)
(716) 310-6268
Entity
Organization

Contact information

Practice address
726 MAIN ST UPPR, EAST AURORA, NY 14052-1904
(716) 310-6268
Mailing address
726 MAIN ST UPPR, EAST AURORA, NY 14052-1904
(716) 310-6268

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
020819
NY

Other

Enumeration date
02/06/2017
Last updated
02/06/2017
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