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Organization

CREATIVE BLESSINGS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TURELANE JACKSON (CEO)
(206) 853-4622
Entity
Organization

Contact information

Practice address
122 E COTTONWOOD LN STE F, CASA GRANDE, AZ 85122-2548
(206) 853-4622
Mailing address
40905 W BRANDT DR, MARICOPA, AZ 85138-7354
(206) 853-4622

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary

Other

Enumeration date
06/22/2021
Last updated
06/22/2021
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