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1780150805
RENAY ANTOINETTE BLOOM
YAKIMA, WA
NPI
1780150805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
Mrs. RENAY ANTOINETTE BLOOM Chemical Dependency
315 N. 2ND STREET
YAKIMA, WA 98901
Phone number: 509-469-9366
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Mailing Address
Mrs. RENAY ANTOINETTE BLOOM Chemical Dependency
315 N. 2ND STREET
YAKIMA, WA 98901
Phone number: 509-469-9366
Copy
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