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1013336460
DAVID BLOOMQUIST
EDINA, MN
NPI
1013336460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-04-14
Last Update Date
2014-04-14
Business Address
-- DAVID BLOOMQUIST ATC
4010 W 65TH ST
EDINA, MN 55435-1706
Phone number: 320-212-3992
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Mailing Address
-- DAVID BLOOMQUIST ATC
8938 80TH ST NE
SPICER, MN 56288-9349
Phone number: 320-212-3992
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