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1194119149
EMILY BLOOMQUIST
SALT LAKE CITY, UT
NPI
1194119149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 9246556-1206)
Enumeration Date
2015-03-26
Last Update Date
2015-03-26
Business Address
-- EMILY BLOOMQUIST PA-C
6360 S 3000 E STE 100
SALT LAKE CITY, UT 84121-6923
Phone number: 801-365-1032
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Mailing Address
-- EMILY BLOOMQUIST PA-C
6360 S 3000 E STE 100
SALT LAKE CITY, UT 84121-6923
Phone number: 801-365-1032
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