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1760414940
DAVID J BLOOM
DANVILLE, PA
NPI
1760414940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: PA MA001742L)
Enumeration Date
2006-07-07
Last Update Date
2008-09-22
Business Address
DAVID J BLOOM PA-C
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-5555
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Mailing Address
DAVID J BLOOM PA-C
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-5555
Copy
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