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Individual

GARY F OBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4755 CAMPUS DR, SIERRA VISTA, AZ 85635-2449
(520) 458-3932
Mailing address
611 W UNION ST, BENSON, AZ 85602-6718
(520) 586-0800

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/17/2007
Last updated
11/11/2010
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  • EDI platform