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Individual

BOBBIE JEAN CALHOUN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LD

Contact information

Practice address
800 OHIO AVE, CLARKSDALE, MS 38614-7200
(662) 624-2504
(662) 627-3629
Mailing address
510 HIGHWAY 322, CLARKSDALE, MS 38614-4717
(662) 624-4292
(662) 624-4354

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
D0144
MS

Other

Enumeration date
05/13/2006
Last updated
07/08/2007
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