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1174503726
MARY JO BLOOMINGER
ROCK ISLAND, IL
NPI
1174503726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-000816)
Enumeration Date
2006-01-19
Last Update Date
2007-12-28
Business Address
-- MARY JO BLOOMINGER PA
2550 24TH ST
ROCK ISLAND, IL 61201-5304
Phone number: 309-793-4223
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Mailing Address
-- MARY JO BLOOMINGER PA
2550 24TH ST
ROCK ISLAND, IL 61201-5304
Phone number: 309-793-4223
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