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Individual
THOMAS S KOLBERG
Active
Individual
THOMAS S KOLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
387037
OH
363LF0000X
Family Nurse Practitioner
Primary
020782
OH
Other
Enumeration date
12/05/2012
Last updated
03/21/2022
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