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Individual

BOBBIE JO ROMAN-MANSANALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS., CCC-SLP

Contact information

Practice address
802 N SAM HOUSTON AVE, ODESSA, TX 79761-3974
(432) 456-8711
Mailing address
800 W 19TH ST, ODESSA, TX 79763-2805
(432) 559-0971

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104573
TX

Other

Enumeration date
08/31/2022
Last updated
03/18/2026
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