Individual
HAROLD L BOBO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1956 S BASS LAKE AVE, HARRISON, MI 48625-9557
(989) 539-5427
Mailing address
1956 S BASS LAKE AVE, HARRISON, MI 48625-9557
(989) 539-5427
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AF180073186
MI
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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