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1326129495
DOUGLAS VANCE BLOOM
KNOXVILLE, TN
NPI
1326129495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN OT0000002922)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- DOUGLAS VANCE BLOOM
NHC KNOXVILLE 809 EMERALD AVE
KNOXVILLE, TN 37917
Phone number: 865-524-7366
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Mailing Address
-- DOUGLAS VANCE BLOOM
703 TURTLE CREEK DRIVE
KNOXVILLE, TN 37934
Phone number: 865-777-1362
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