Individual
BOB GENE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 TEE LN, BABSON PARK, FL 33827-9501
(863) 638-2866
(863) 638-4090
Mailing address
106 TEE LN, BABSON PARK, FL 33827-9501
(863) 638-2866
(863) 638-4090
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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