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Organization

BLUE SKY MINING COMPANY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN JOHNSON (OWNER)
(941) 716-2786
Entity
Organization

Contact information

Practice address
811 RIDGEWOOD AVE, VENICE, FL 34285-7009
(941) 480-0300
(941) 485-8090
Mailing address
811 RIDGEWOOD AVE, VENICE, FL 34285-7009
(941) 480-0300
(941) 485-8090

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
DO 4976
FL

Other

Enumeration date
02/16/2012
Last updated
02/16/2012
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