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1164948022
KATHLEEN ROCKHOLT BLOOM
CONCORD, NC
NPI
1164948022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5009862)
Enumeration Date
2017-08-22
Last Update Date
2024-07-23
Business Address
KATHLEEN ROCKHOLT BLOOM NP
100 MEDICAL PARK DR STE 210
CONCORD, NC 28025-2948
Phone number: 704-403-6100
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Mailing Address
KATHLEEN ROCKHOLT BLOOM NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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