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Individual

MARY BOBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3511 HIGHWAY 67 W, HOPE, AR 71801-8858
(870) 703-1755
Mailing address
3511 HIGHWAY 67 W, HOPE, AR 71801-8858
(870) 703-1755

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1193245
AR

Other

Enumeration date
08/30/2016
Last updated
08/30/2016
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