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Individual

AINSLEY KATHERINE BLOOMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1025 MOREHEAD MEDICAL DR STE 300, CHARLOTTE, NC 28204-2966
(704) 446-2772
(704) 355-2467
Mailing address
310 BURLEIGH ST, CHARLOTTE, NC 28211-3072
(704) 618-8022

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
BLOO-OG8BFD
NC

Other

Enumeration date
03/28/2021
Last updated
03/28/2021
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