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1073163580
MICHAEL V BLOOM PHD LLC
PORTAGE, MI
NPI
1073163580
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Entity Type
Organization
Authorized Contact
MICHAEL V BLOOM
Psychologist
269-345-0669
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2019-09-17
Last Update Date
2020-09-25
Business Address
MICHAEL V BLOOM PHD LLC
7920 KIRKLAND CT
PORTAGE, MI 49024-4974
Phone number: 269-345-0669
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Mailing Address
MICHAEL V BLOOM PHD LLC
PO BOX 3272
SAGINAW, MI 48605-3272
Phone number: 989-797-1400
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