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MS. ROSEMARY KAY BLOOM R.N.

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1033381306

Individual Registrant:
MS. ROSEMARY KAY BLOOM R.N.
Gender: F
Sole Proprietor

Location and contact information for practice:
5118 LAKEWIND DRIVE  BUTTE DES MORTS, WI 54927 US
Tel: 920-859-0042  Fax: 920-859-0042

Contact information for business:
PO BOX 377  BUTTE DES MORTS, WI 54927-0377 US
Tel: 920-859-0042  Fax: 920-859-0042

Registration Information:
NPI: 1033381306
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
WI73617-030

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
38229100WI05




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