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1487363396
ADAM BLOOM
FOUNTAIN HILLS, AZ
NPI
1487363396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA-014578)
Enumeration Date
2022-11-18
Last Update Date
2022-11-18
Business Address
Mr. ADAM BLOOM
16650 EAST PALISADES BLVD #109
FOUNTAIN HILLS, AZ 85268
Phone number: 480-404-6775
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Mailing Address
Mr. ADAM BLOOM
9842 EAST SAN SALVADOR DRIVE
SCOTTSDALE, AZ 85258
Phone number: 480-404-6775
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