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1750041497
BLOOMING MEDICAL GROUP, PLLC
CARY, NC
NPI
1750041497
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Entity Type
Organization
Authorized Contact
EMILY BECKER PEVTSOV
Owner
910-644-0887
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-12-21
Last Update Date
2023-01-31
Business Address
BLOOMING MEDICAL GROUP, PLLC
964 HIGH HOUSE RD UNIT 4037
CARY, NC 27513-3574
Phone number: 910-644-0887
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Mailing Address
BLOOMING MEDICAL GROUP, PLLC
964 HIGH HOUSE RD UNIT 4037
CARY, NC 27513-3574
Phone number:
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