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Individual

ELISHEVA BLOOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5500 S MARGINAL RD STE 110, CLEVELAND, OH 44103-1009
(216) 221-7588
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
12/03/2024
Last updated
12/03/2024
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