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1033379540
KENNETH ALLEN MOBERG
NEW YORK, NY
NPI
1033379540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F302611-1)
Enumeration Date
2008-06-10
Last Update Date
2013-08-27
Business Address
Mr. KENNETH ALLEN MOBERG Nurse Practitioner
121B WEST 20TH STREET VILLAGE DIAGNOSTIC & TREATMENT CENTER
NEW YORK, NY 10011
Phone number: 212-337-9290
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Mailing Address
Mr. KENNETH ALLEN MOBERG Nurse Practitioner
121B WEST 20TH STREET VILLAGE DIAGNOSTIC & TREATMENT CENTER
NEW YORK, NY 10011
Phone number: 212-337-9290
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