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Individual
MR. BOBBY UNDERWOOD
Active
Individual
MR. BOBBY UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNFA
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN0000105025
TN
163WR0006X
Registered Nurse First Assistant
Primary
RN0000105025
TN
Other
Enumeration date
02/07/2006
Last updated
02/20/2012
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