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1376501940
DENNIS BLOM
UTICA, NY
NPI
1376501940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: NY 196361)
Additional Taxonomies
208600000X Surgery
(Licence: IN 1060363A)
Enumeration Date
2006-05-03
Last Update Date
2018-09-11
Business Address
Mr. DENNIS BLOM MD
2202 GENESEE ST
UTICA, NY 13502
Phone number: 315-732-0349
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Mailing Address
Mr. DENNIS BLOM MD
2202 GENESEE ST
UTICA, NY 13502
Phone number: 315-732-0349
Copy
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