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1225005879
R. LAMONT BLOOM
WICHITA, KS
NPI
1225005879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KS 04-18702)
Enumeration Date
2006-03-02
Last Update Date
2009-12-08
Business Address
Dr. R. LAMONT BLOOM M.D.
406 E CENTRAL AVE
WICHITA, KS 67202-1058
Phone number: 316-265-0705
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Mailing Address
Dr. R. LAMONT BLOOM M.D.
406 E CENTRAL AVE
WICHITA, KS 67202-1058
Phone number: 316-265-0705
Copy
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