Provider Information for 1053620922
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Ms. BOBBI MOORE CLEARY M.S., L.P.C.
Other Names:Former Name:BOBBI MOORE O'KELLEY M.S., L.P.C.Sex: Female
NPI: 1053620922
Last Updated: 2022-11-18
Certification Date: 2022-11-18
Certification Date: 2022-11-18
Details
| Name | Value | ||||||||
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| NPI | 1053620922 | ||||||||
| Enumeration Date | 2010-09-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1585 MISSION ROAD HOMER, AK 99603 United States Phone: 907-440-6405 | Fax:888-719-1194 | ||||||||
| Primary Practice Address | 1585 MISSION ROAD HOMER, AK 99603 United States Phone: 907-440-6405 | Fax:888-719-1194 | ||||||||
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