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Individual
DR. EDDYE BLOSSOM II
Active
Individual
DR. EDDYE BLOSSOM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
45438
TN
207V00000X
Obstetrics & Gynecology Physician
E-6247
AR
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.204270
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138014
—
LA
Enumeration date
05/04/2007
Last updated
01/24/2013
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