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1063816817
JAMES BLOOMCAMP
TAHLEQUAH, OK
NPI
1063816817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK AT339)
Enumeration Date
2014-10-22
Last Update Date
2014-10-22
Business Address
Mr. JAMES BLOOMCAMP ATC
600 N GRAND AVE
TAHLEQUAH, OK 74464-2301
Phone number: 918-444-3921
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Mailing Address
Mr. JAMES BLOOMCAMP ATC
1103 CHASE AVE
TAHLEQUAH, OK 74464-5294
Phone number: 918-931-2948
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