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Individual

GRANT FORSYTH OBERLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BHS

Contact information

Practice address
30 SANDY COVE WAY, SANTA ROSA BEACH, FL 32459-2641
(321) 424-1328
Mailing address
30 SANDY COVE WAY, SANTA ROSA BEACH, FL 32459-2641
(321) 424-1328

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI6339
FL

Other

Enumeration date
06/15/2023
Last updated
06/15/2023
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