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1376052639
JONATHAN C BLOOM
COLUMBUS, OH
NPI
1376052639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-09-29
Last Update Date
2017-09-29
Business Address
JONATHAN C BLOOM
16 W LONG ST
COLUMBUS, OH 43215-2815
Phone number: 614-225-0990
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Mailing Address
JONATHAN C BLOOM
1789 BIERSTAD DR
POWELL, OH 43065-9013
Phone number: 614-271-2706
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