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1134523855
COTTONWOOD CREEK CLINIC LLC
WASILLA, AK
NPI
1134523855
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Entity Type
Organization
Authorized Contact
RICHARD BLAKE
Owner
907-373-5950
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AK 1011473)
Enumeration Date
2014-10-09
Last Update Date
2023-03-07
Business Address
COTTONWOOD CREEK CLINIC LLC
3600 E WICKERSHAM WAY
WASILLA, AK 99654-7550
Phone number: 907-373-5950
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Mailing Address
COTTONWOOD CREEK CLINIC LLC
3600 E WICKERSHAM WAY
WASILLA, AK 99654-7550
Phone number: 907-373-5950
Copy
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