LONNIE N BLOOM

MOUNT VERNON, WA
NPI1154322394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT00007498)
Enumeration Date2005-08-10
Last Update Date2008-04-23
Business Address
Mr. LONNIE N BLOOM PT
110 N LAVENTURE RD STE A
MOUNT VERNON, WA 98273-3901
Phone number: 360-428-2700
Mailing Address
Mr. LONNIE N BLOOM PT
110 N LAVENTURE RD STE A
MOUNT VERNON, WA 98273-3901
Phone number: 360-428-2700
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