Individual
MR. BENEDICT TUGBA SLOBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1517 HIGHWAY 13 E, BURNSVILLE, MN 55337-2917
(612) 756-9107
Mailing address
2814 VILAS LN, EAGAN, MN 55121-1321
(651) 890-2419
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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