Individual
MARY C KOBERLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.D./N.
Contact information
Practice address
1021 S PROSPECT AVE APT O, HARTVILLE, OH 44632-9480
(330) 388-6869
Mailing address
1021 S PROSPECT AVE APT O, HARTVILLE, OH 44632-9480
(330) 388-6869
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LD7930
OH
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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