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1215114541
JILL E. BLOOM
CHRISTIANSBURG, VA
NPI
1215114541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110003042)
Enumeration Date
2008-01-29
Last Update Date
2009-11-18
Business Address
-- JILL E. BLOOM PA
120 AKERS FARM RD
CHRISTIANSBURG, VA 24073-4863
Phone number: 540-382-3440
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Mailing Address
-- JILL E. BLOOM PA
811 VILLAGE WAY N
BLACKSBURG, VA 24060-1845
Phone number: 540-553-0568
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