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1073652970
MARLENE R. BLOOM
TAMPA, FL
NPI
1073652970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY6043)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
Dr. MARLENE R. BLOOM Ph.D.
10909 MEMORIAL HWY
TAMPA, FL 33615-2511
Phone number: 813-864-1404
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Mailing Address
Dr. MARLENE R. BLOOM Ph.D.
10909 MEMORIAL HWY
TAMPA, FL 33615-2511
Phone number: 813-864-1404
Copy
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