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Individual

MR. CALVIN MITCHELL BOBBITT HOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT, PES

Contact information

Practice address
900 UNIVERSITY AVE, RIVERSIDE, CA 92521-2112
(661) 755-8831
Mailing address
25909 MORENO DR, VALENCIA, CA 91355-2112

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1163
OK
2255A2300X
Athletic Trainer
AT1931
KY
2255A2300X
Athletic Trainer
AT9206
TX
2255A2300X
Athletic Trainer
TCA972
KY
2255A2300X
Athletic Trainer
Primary
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
02/03/2018
Last updated
01/28/2024
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