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Individual

MRS. DEBBIE LYNN BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1600 DEERFIELD RD, HIGHLAND PARK, IL 60035-3708
(847) 579-0884
(847) 579-0895
Mailing address
3140 CENTENNIAL CT, HIGHLAND PARK, IL 60035-1016
(847) 433-1507
(847) 433-6776

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IL

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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