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1770666349
L. W. BLOOMINGBURG
HENDERSON, TN
NPI
1770666349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TN 573)
Enumeration Date
2006-10-24
Last Update Date
2008-02-26
Business Address
DR. L. W. BLOOMINGBURG O.D.
138 S WASHINGTON AVE
HENDERSON, TN 38340-2323
Phone number: 731-989-3511
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Mailing Address
DR. L. W. BLOOMINGBURG O.D.
PO BOX 367 138 S. WASHINGTON AVENUE
HENDERSON, TN 38340-0367
Phone number: 731-989-3511
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