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1336594456
MICHAEL ALLEN BLOOM
SAN FRANCISCO, CA
NPI
1336594456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 10031)
Enumeration Date
2016-04-26
Last Update Date
2016-04-26
Business Address
Mr. MICHAEL ALLEN BLOOM MS
4150 CLEMENT ST # 126
SAN FRANCISCO, CA 94121-1545
Phone number: 415-750-2237
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Mailing Address
Mr. MICHAEL ALLEN BLOOM MS
3217 VICENTE ST APT 3
SAN FRANCISCO, CA 94116-2653
Phone number: 925-915-1080
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