LARRY MARTIN BLOOM

SYLVANIA, OH
NPI1144400763
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OH  2757/T1242)
Enumeration Date2007-11-12
Last Update Date2009-03-09
Business Address
LARRY MARTIN BLOOM O.D.
5600 MONROE ST
SYLVANIA, OH 43560
Phone number: 419-882-8467
Mailing Address
LARRY MARTIN BLOOM O.D.
5600 MONROE ST
SYLVANIA, OH 43560-2731
Phone number: 419-882-8467
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