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1952157315
JENNIFER MICHELE BLOOM
DETROIT, MI
NPI
1952157315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-26
Last Update Date
2024-04-26
Business Address
JENNIFER MICHELE BLOOM DPM
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 313-745-7071
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Mailing Address
JENNIFER MICHELE BLOOM DPM
15912 E JEFFERSON AVE
GROSSE POINTE PARK, MI 48230-1446
Phone number: 305-799-1500
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