Individual
CORI ALEX MOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 1/2 N 21ST ST, BISMARCK, ND 58501-4803
(701) 460-1033
Mailing address
604 1/2 N 21ST ST, BISMARCK, ND 58501-4803
(701) 460-1033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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