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Organization

BLOOM WELL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABIGAIL EMERY DC (MEMBER)
(636) 634-5456
Entity
Organization

Contact information

Practice address
3256 S FREMONT AVE STE 10, SPRINGFIELD, MO 65804-4212
(417) 344-1544
Mailing address
1909 E WHETSTONE DR, OZARK, MO 65721-8578
(636) 634-5456

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952757353
NPI
MO
Enumeration date
12/13/2022
Last updated
12/13/2022
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