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Individual

BOBBY GENE WRIGHT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
44443 10TH ST W, LANCASTER, CA 93534-3346
(818) 996-1051
Mailing address
920 E AVENUE Q APT 8, PALMDALE, CA 93550-3888
(661) 993-7819

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/20/2022
Last updated
06/23/2023
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