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1366610099
CAROL B. BLOOM
LA CROSSE, WI
NPI
1366610099
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Other Name
CAROL ANN BLOOM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 1231-024)
Enumeration Date
2008-02-15
Last Update Date
2008-02-15
Business Address
Ms. CAROL B. BLOOM PT
2214 MAIN STREET
LA CROSSE, WI 54601-3918
Phone number: 608-784-6970
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Mailing Address
Ms. CAROL B. BLOOM PT
2214 MAIN ST
LA CROSSE, WI 54601-3918
Phone number: 608-784-6970
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