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1104816644
CAROLYN L BLOOM
TOPEKA, KS
NPI
1104816644
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Former Name
CAROLYN L HAUG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 1100373)
Enumeration Date
2005-10-26
Last Update Date
2016-03-28
Business Address
-- CAROLYN L BLOOM PT
4035 SW 10TH AVE TOPEKA
TOPEKA, KS 66604-1916
Phone number: 785-273-7700
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Mailing Address
-- CAROLYN L BLOOM PT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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