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Individual

GRACE POPHAM HOBBES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
110 ROME AVE, PROVIDENCE, RI 02908-1227
(401) 499-1455
Mailing address
1 CUNNINGHAM SQ, PROVIDENCE, RI 02918-7001
(401) 865-1752

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00377
RI

Other

Enumeration date
09/23/2021
Last updated
09/23/2021
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