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1073129458
BLOOM GYNECOLOGY LLC
MANSFIELD, TX
NPI
1073129458
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Entity Type
Organization
Authorized Contact
SARA CHRISTINE NORTHROP
Doctor
817-542-5912
Organization Subpart ?
No
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
BLOOM GYNECOLOGY LLC
3540 E BROAD ST # 262
MANSFIELD, TX 76063-5633
Phone number: 817-542-5912
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Mailing Address
BLOOM GYNECOLOGY LLC
505 CARNATION LN
MANSFIELD, TX 76063-6845
Phone number:
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