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Individual

INGRID L. BLOOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LI. A.

Contact information

Practice address
2829 UNIVERSITY AVE, SUITE 400, MINNEAPOLIS, MN 55414
(612) 874-6409
Mailing address
1026 VAN BUREN AVE, SAINT PAUL, MN 55104-2127
(612) 501-7292

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1277
MN

Other

Enumeration date
04/04/2012
Last updated
04/04/2012
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