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1265086854
RANDY BLOOM
RANCHO MIRAGE, CA
NPI
1265086854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95012312)
Enumeration Date
2019-07-31
Last Update Date
2020-01-23
Business Address
RANDY BLOOM FNP-BC
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270-3221
Phone number: 760-773-2882
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Mailing Address
RANDY BLOOM FNP-BC
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270-3221
Phone number: 760-773-2882
Copy
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