MARCENE A BLOOM

RAPID CITY, SD
NPI1174538052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  0479)
Enumeration Date2006-07-29
Last Update Date2012-02-01
Business Address
-- MARCENE A BLOOM P.A.
2905 5TH ST
RAPID CITY, SD 57701-7316
Phone number: 605-341-7337
Mailing Address
-- MARCENE A BLOOM P.A.
2905 5TH ST
RAPID CITY, SD 57701-7316
Phone number: 605-341-7337
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