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Licensee Information

Blake David Bloomfield - PA-C
0010-15587
Active
No
07/29/2025
10/03/2026

Active Supervisor

NameTypeStatusApprovedInactive
Coggins, Kenneth Gerald, MD MD Active 08/14/2025
Cunningham, Kyle William, MD MD Active 08/14/2025
Dom, Aaron Matthew, MD MD Active 08/14/2025
Fan, Yuan, MD MD Active 08/14/2025
Gibbs, Michael Alfred, MD MD Active 08/14/2025
Leo, Troy, MD MD Active 08/14/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 4:35:11 PM

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