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1720670482
SHANE TAYLOR BLOOM
LINCOLN, NE
NPI
1720670482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 2570)
Enumeration Date
2021-02-04
Last Update Date
2021-03-25
Business Address
SHANE TAYLOR BLOOM PA
1500 S 48TH ST STE 800
LINCOLN, NE 68506-1200
Phone number: 402-483-8600
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Mailing Address
SHANE TAYLOR BLOOM PA
1500 S 48TH ST STE 800
LINCOLN, NE 68506-1200
Phone number: 402-483-8600
Copy
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