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1134881576
SHANNAN BLOOMSTRAND
WACO, TX
NPI
1134881576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
SHANNAN BLOOMSTRAND
601 W LOOP 340
WACO, TX 76712-6840
Phone number: 254-399-8255
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Mailing Address
SHANNAN BLOOMSTRAND
601 W LOOP 340
WACO, TX 76712-6840
Phone number: 254-399-8255
Copy
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