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1730167065
PAUL R BLOOMQUIST
PHOENIX, AZ
NPI
1730167065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 37950)
Enumeration Date
2006-01-06
Last Update Date
2007-07-09
Business Address
Dr. PAUL R BLOOMQUIST MD
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
Dr. PAUL R BLOOMQUIST MD
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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