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1609434265
JAMIE LAWRENCE BLOOM
PHILADELPHIA, PA
NPI
1609434265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
Dr. JAMIE LAWRENCE BLOOM MD
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-2370
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Mailing Address
Dr. JAMIE LAWRENCE BLOOM MD
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-2370
Copy
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