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Individual

LIANA HOBGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 FODEN RD, SUITE 205, SOUTH PORTLAND, ME 04106-2327
(207) 780-8860
Mailing address
100 FODEN RD, SUITE 205, SOUTH PORTLAND, ME 04106-2327

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT447
ME

Other

Enumeration date
01/01/2014
Last updated
01/01/2014
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