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Organization

BLOOM MEDICAL AND AESTHETICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNIE LYNN BLUM (OWNER)
(970) 424-9739
Entity
Organization

Contact information

Practice address
8340 SANGRE DE CRISTO RD STE 202, LITTLETON, CO 80127-4252
(970) 424-9793
Mailing address
8340 SANGRE DE CRISTO RD STE 202, LITTLETON, CO 80127-4252

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
07/08/2022
Last updated
07/08/2022
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