Individual
MISS BOBBI JEAN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 MAGNOLIA ST, COSHOCTON, OH 43812-2856
(740) 622-0735
Mailing address
1536 TRADE AVE, COSHOCTON, OH 43812-1453
(740) 575-4019
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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