Individual
DR. LINDA STARK BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ATC, LAT
Contact information
Practice address
1936 N STREET, HPE COMPLEX, RM 204, SFASFU, NACOGDOCHES, TX 75962
(936) 468-1599
(936) 468-1850
Mailing address
3304 COLONIAL DR, NACOGDOCHES, TX 75965-3079
(936) 559-1213
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1665
TX
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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