JENNIFER R. BLOOM-LONG

DAYTON, OH
NPI1881724284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: OH  RN-241081 NP-08754)
Enumeration Date2007-03-06
Last Update Date2012-03-07
Business Address
-- JENNIFER R. BLOOM-LONG CNP
324 WILMINGTON AVE
DAYTON, OH 45420-1890
Phone number: 937-416-1537
Mailing Address
-- JENNIFER R. BLOOM-LONG CNP
4201 WOODBINE AVE
DAYTON, OH 45420-2751
Phone number: 937-252-2411
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