Individual
TEGA OBEBEDUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1351 PAGE DR S STE 215, FARGO, ND 58103-3536
(701) 850-9194
Mailing address
1351 PAGE DR S STE 215, FARGO, ND 58103-3536
(701) 850-9194
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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