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Individual

SHELBY MEHLBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1015 E 3RD ST, REDFIELD, SD 57469-1402
(605) 472-2288
Mailing address
PO BOX 84, RAYMOND, SD 57258-0084

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
079405
IA

Other

Enumeration date
01/05/2016
Last updated
05/17/2021
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