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Individual

KATHLEEN C BLOOMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9 BUZELL AVE, EXETER, NH 03833-2522
(603) 773-5200
Mailing address
PO BOX 655, EXETER, NH 03833-0655
(603) 580-6753
(603) 580-6840

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0364802302
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30005279
NH
Enumeration date
10/04/2006
Last updated
07/08/2007
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