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1619990249
LISA VANDERBLOOMER
CHARLOTTE, NC
NPI
1619990249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-07-25
Last Update Date
2013-08-21
Business Address
-- LISA VANDERBLOOMER
10009 PARK CEDAR DR STE 100
CHARLOTTE, NC 28210-8935
Phone number: 704-716-1024
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Mailing Address
-- LISA VANDERBLOOMER
10009 PARK CEDAR DR STE 100
CHARLOTTE, NC 28210-8935
Phone number: 704-716-1024
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