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1366773616
DIANA M. BLOOMBERG
JANESVILLE, WI
NPI
1366773616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 32342-31)
Enumeration Date
2010-01-27
Last Update Date
2010-01-27
Business Address
MRS. DIANA M. BLOOMBERG LICENSED PRACTICAL N
2112 LIBERTY LANE
JANESVILLE, WI 53545-0548
Phone number: 608-755-9503
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Mailing Address
MRS. DIANA M. BLOOMBERG LICENSED PRACTICAL N
2112 LIBERTY LANE
JANESVILLE, WI 53545-0548
Phone number: 608-755-9503
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