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1770709834
MELISSA SHEA BLOOM
ATLANTA, GA
NPI
1770709834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT008152)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- MELISSA SHEA BLOOM D.P.T
1441 CLIFTON RD NE
ATLANTA, GA 30322-1004
Phone number: 404-712-7804
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Mailing Address
-- MELISSA SHEA BLOOM D.P.T
215 FAIRFIELD ST
DECATUR, GA 30030-2306
Phone number:
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