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1306803218
CREATIVE ORTHOTIC LABORATORY
GLENDALE, AZ
NPI
1306803218
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Entity Type
Organization
Authorized Contact
MARK RICHARD GORMAN
C.E.O.
623-934-3213
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2006-04-26
Last Update Date
2020-08-22
Business Address
CREATIVE ORTHOTIC LABORATORY
8608 N 59TH AVE
GLENDALE, AZ 85302-5404
Phone number: 623-934-3213
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Mailing Address
CREATIVE ORTHOTIC LABORATORY
8608 N 59TH AVE
GLENDALE, AZ 85302-5404
Phone number: 623-934-3213
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