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Individual

MISS BRIELLE MARIE BOBBORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-S1

Contact information

Practice address
3600 N GARFIELD ST, MIDLAND, TX 79705-6329
(806) 743-3220
Mailing address
11117 AMELINA LN, FRISCO, TX 75035-7650
(972) 825-6444

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/23/2024
Last updated
08/23/2024
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