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1861097271
SANTINA BLOOM
BAYPORT, NY
NPI
1861097271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 324150-01)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
SANTINA BLOOM
415 TERRACE RD
BAYPORT, NY 11705-1526
Phone number: 631-525-3234
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Mailing Address
SANTINA BLOOM
415 TERRACE RD
BAYPORT, NY 11705-1526
Phone number: 631-525-3234
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