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1174723779
LISA A OBERG
LATHAM, NY
NPI
1174723779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 401070)
Enumeration Date
2007-07-20
Last Update Date
2012-01-04
Business Address
Ms. LISA A OBERG N.P.P.
11 CENTURY HILL DRIVE SUITE 206
LATHAM, NY 12110-2151
Phone number: 518-713-4595
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Mailing Address
Ms. LISA A OBERG N.P.P.
11 CENTURY HILL DRIVE
LATHAM, NY 12110-2151
Phone number: 518-713-4595
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