Individual
BOBBY OBURN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
328 W BUCKEYE ST, CLYDE, OH 43410-1938
(419) 680-8265
Mailing address
328 W BUCKEYE ST, CLYDE, OH 43410-1938
(419) 680-8265
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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