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1114400702
KIM BLOOMER
BUFFALO, NY
NPI
1114400702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 005364-1)
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
KIM BLOOMER
40 LA RIVIERE DR
BUFFALO, NY 14202-4344
Phone number: 716-893-1010
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Mailing Address
KIM BLOOMER
6835 FORESTVIEW DR
LOCKPORT, NY 14094-7988
Phone number: 716-930-4422
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