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1669802930
TINA MARIE BLOOMER
RALEIGH, NC
NPI
1669802930
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Former Name
TINA MARIE MENDIETA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC L002206)
Enumeration Date
2013-11-22
Last Update Date
2020-04-15
Business Address
Ms. TINA MARIE BLOOMER MS, RD/LDN
512 BRICKHAVEN DR
RALEIGH, NC 27606-1492
Phone number: 704-607-4924
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Mailing Address
Ms. TINA MARIE BLOOMER MS, RD/LDN
7035 WALNUT BRANCH LANE
CHARLOTTE, NC 28277-8939
Phone number: 704-607-4924
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