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1013112242
HOLLY RENAE BLOOMQUIST
SAN DIEGO, CA
NPI
1013112242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist Pediatrics
(Licence: CA 28600)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
DR. HOLLY RENAE BLOOMQUIST DPT
4510 VIEWRIDGE AVE
SAN DIEGO, CA 92123-1637
Phone number: 858-502-1350
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Mailing Address
DR. HOLLY RENAE BLOOMQUIST DPT
3828 CAMINITO LITORAL # 201
SAN DIEGO, CA 92107-1902
Phone number: 619-708-8262
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