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1477530392
MICHAEL V BLOOM
PORTAGE, MI
NPI
1477530392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: SD 109)
Enumeration Date
2005-12-30
Last Update Date
2019-09-17
Business Address
MICHAEL V BLOOM PhD
7920 KIRKLAND CT
PORTAGE, MI 49024-4974
Phone number: 269-345-0669
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Mailing Address
MICHAEL V BLOOM PhD
PO BOX 3272
SAGINAW, MI 48605-3272
Phone number: 989-797-1400
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