LONNA DEE BLOOM

EVANS, CO
NPI1952540817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CO  114)
Enumeration Date2009-02-16
Last Update Date2009-07-10
Business Address
-- LONNA DEE BLOOM PA-C
2930 11TH AVE
EVANS, CO 80620-1011
Phone number: 970-395-1130
Mailing Address
-- LONNA DEE BLOOM PA-C
2930 11TH AVE
EVANS, CO 80620-1011
Phone number: 970-353-9403
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