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Individual

MRS. TERESA BARBARA BLOOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
700 S M 52, WEBBERVILLE, MI 48892-9260
(517) 521-3540
Mailing address
700 S M 52, WEBBERVILLE, MI 48892-9260
(517) 521-3540

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704208979
MI

Other

Enumeration date
08/24/2007
Last updated
08/24/2007
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