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Individual
LORI ANN BLOOMUS
Active
Individual
LORI ANN BLOOMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
CT
174400000X
Specialist
—
—
2255A2300X
Athletic Trainer
—
CT
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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