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1730829250
AVA BLOOM
PORTLAND, OR
NPI
1730829250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
AVA BLOOM MS
3651 SE 33RD AVE
PORTLAND, OR 97202-3025
Phone number: 208-284-9655
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Mailing Address
AVA BLOOM MS
3651 SE 33RD AVE
PORTLAND, OR 97202-3025
Phone number: 971-380-5715
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