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Individual

MICHAELENA JO OBERSCHLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1019 ANN ST, APT D3, PORTSMOUTH, VA 23704-2262
(770) 335-7941
Mailing address
1019 ANN ST, APT. D3, PORTSMOUTH, VA 23704-2262
(770) 335-7941

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary

Other

Enumeration date
07/01/2013
Last updated
07/01/2013
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