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Individual

MS. PETULA ETHEL DOBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.I.

Contact information

Practice address
275 E MAIN STREET HS2W C, FRANKFORT, KY 40621-0001
(502) 564-3756
Mailing address
PO BOX 1005, STEARNS, KY 42647-1005
(606) 376-4479

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201128735
KY

Other

Enumeration date
08/09/2011
Last updated
08/09/2011
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