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Individual
AMY MOBERG
Active
Individual
AMY MOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R-8654
IA
Other
Enumeration date
06/02/2009
Last updated
04/02/2012
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