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Individual
MR. JASON COREY BLOOMER
Active
Individual
MR. JASON COREY BLOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, CCRN, FANAI
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN-80349
NM
163WP2201X
Ambulatory Care Registered Nurse
RN-80349
NM
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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