Individual
JENNIFER JEANNE BOBLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1068 LAKE ST S STE 108, FOREST LAKE, MN 55025-2633
(651) 464-8486
Mailing address
50922 RIVER RD, RUSH CITY, MN 55069-2022
(320) 469-1790
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
10522
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10522
—
MN
Enumeration date
12/15/2020
Last updated
12/14/2021
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