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Individual

MRS. BOBBI A. SEVERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1120 SAMS ST, COOKEVILLE, TN 38506-4006
(931) 528-7312
Mailing address
8258 HICKORY VALLEY RD, SPARTA, TN 38583-4036
(931) 738-7915

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
585
TN

Other

Enumeration date
05/10/2006
Last updated
07/01/2009
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