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1821597048
LAVERNE BLOOMFIELD
FORT PIERCE, FL
NPI
1821597048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
LAVERNE BLOOMFIELD
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-468-5600
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Mailing Address
LAVERNE BLOOMFIELD
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number:
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