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1598955213
JODY LEE BLOOM
BURNSVILLE, MN
NPI
1598955213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2007-07-30
Last Update Date
2007-07-30
Business Address
-- JODY LEE BLOOM
501 E NICOLLET BLVD STE 100
BURNSVILLE, MN 55337-6772
Phone number: 952-460-4900
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Mailing Address
-- JODY LEE BLOOM
1411 8TH STREET CT SE
NEW PRAGUE, MN 56071-5401
Phone number:
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