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1194947010
GARY ALLAN BLOOM
COLORADO SPRINGS, CO
NPI
1194947010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CO 17828)
Enumeration Date
2007-05-02
Last Update Date
2009-05-19
Business Address
-- GARY ALLAN BLOOM M.D.
4190 E WOODMEN RD STE 200
COLORADO SPRINGS, CO 80920-8075
Phone number: 719-265-6464
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Mailing Address
-- GARY ALLAN BLOOM M.D.
230 SHADY OAK GROVE
COLORADOO SPRINGS, CO 80916
Phone number: 719-321-4607
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