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1053419820
SUSAN D BOBO
MERIDIAN, MS
NPI
1053419820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS R802552)
Enumeration Date
2006-09-20
Last Update Date
2013-12-13
Business Address
-- SUSAN D BOBO
1818 COLLEGE DRIVE
MERIDIAN, MS 39307-5429
Phone number: 601-581-8482
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Mailing Address
-- SUSAN D BOBO
PO BOX 4128
MERIDIAN, MS 39304-4128
Phone number: 601-581-8482
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