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1194178822
AMANDA BLOOM
LAFAYETTE, CO
NPI
1194178822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CO 1631110)
Enumeration Date
2016-07-18
Last Update Date
2016-07-18
Business Address
-- AMANDA BLOOM
280 EXEMPLA CIR
LAFAYETTE, CO 80026-3370
Phone number: 303-338-4545
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Mailing Address
-- AMANDA BLOOM
280 EXEMPLA CIR
LAFAYETTE, CO 80026-3370
Phone number: 303-338-4545
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