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Individual

DR. JASON ERIC BLOOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
265 BROOKVIEW CENTRE WAY, SUITE 103, KNOXVILLE, TN 37919-4049
(585) 507-8075
Mailing address
265 BROOKVIEW CENTRE WAY, SUITE 103, KNOXVILLE, TN 37919-4049
(585) 507-8075

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2790
TN

Other

Enumeration date
01/03/2014
Last updated
09/28/2015
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