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1649575903
ELLEN G BLOOM
BOCA RATON, FL
NPI
1649575903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2011-01-18
Last Update Date
2012-12-28
Business Address
-- ELLEN G BLOOM M.Ed
19459 ESTUARY DR
BOCA RATON, FL 33498-6202
Phone number: 561-488-4067
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Mailing Address
-- ELLEN G BLOOM M.Ed
19459 ESTUARY DR
BOCA RATON, FL 33498-6202
Phone number: 561-488-4067
Copy
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