Mirabelle Madeleine Blossom
Mirabelle Madeleine Blossom is a Community Health Worker in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
3101 Lathrop StFairbanks, AK 99701-7426
Phone: (907) 459-4700
Fax: (907) 474-3621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1760277800 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2025 |
| Last updated in NPPES | April 10, 2025 |
| Certification date | April 10, 2025 |
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