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1902026834
MELANY K BLOOMQUIST
PORT ORCHARD, WA
NPI
1902026834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 7314)
Enumeration Date
2007-04-25
Last Update Date
2007-07-09
Business Address
Dr. MELANY K BLOOMQUIST DDS
1590 WOODRIDGE DR SE
PORT ORCHARD, WA 98366-3818
Phone number: 360-871-5100
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Mailing Address
Dr. MELANY K BLOOMQUIST DDS
1590 WOODRIDGE DR SE
PORT ORCHARD, WA 98366-3818
Phone number: 360-871-5100
Copy
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