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1316588833
CORBEN P BLOOMFIELD
DALLAS, TX
NPI
1316588833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 68794)
Enumeration Date
2019-10-06
Last Update Date
2019-10-06
Business Address
DR. CORBEN P BLOOMFIELD LPC
8340 MEADOW RD STE 134
DALLAS, TX 75231-4280
Phone number: 214-265-1777
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Mailing Address
DR. CORBEN P BLOOMFIELD LPC
2914 PAINTED PONY LN
ROCKWALL, TX 75087-6444
Phone number: 208-880-2410
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