Individual
ADELINE CHRISTINE BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3517 DUNEDIN DR, APT 103, CHESAPEAKE, VA 23321-5019
(614) 619-0761
Mailing address
3517 DUNEDIN DR, APT 103, CHESAPEAKE, VA 23321-5019
(614) 619-0761
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001557
VA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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