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1528385986
BARRIE BLOOM
GALLUP, NM
NPI
1528385986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CO 168153)
Enumeration Date
2010-04-26
Last Update Date
2010-04-26
Business Address
-- BARRIE BLOOM RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1254
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Mailing Address
-- BARRIE BLOOM RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1254
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