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1942562400
IVY BLOOM
OCEANSIDE, NY
NPI
1942562400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
-- IVY BLOOM MSED
122 JEFFERY LN
OCEANSIDE, NY 11572-5936
Phone number: 516-678-3728
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Mailing Address
-- IVY BLOOM MSED
122 JEFFERY LN
OCEANSIDE, NY 11572-5936
Phone number: 516-678-3728
Copy
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