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Individual

JILL E. BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
120 AKERS FARM RD, CHRISTIANSBURG, VA 24073-4863
(540) 382-3440
Mailing address
811 VILLAGE WAY N, BLACKSBURG, VA 24060-1845
(540) 553-0568

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003042
VA

Other

Enumeration date
01/29/2008
Last updated
11/18/2009
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