Individual
DEBORAH BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 CENTRE POINTE BLVD, SUITE 3, SAINT PAUL, MN 55120-1269
(651) 774-0011
Mailing address
2060 CENTRE POINTE BLVD, SUITE 3, SAINT PAUL, MN 55120-1269
(651) 774-0011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R183329-2
MN
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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