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1205198454
CORBIN MOBERG
MOSES LAKE, WA
NPI
1205198454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60285521)
Enumeration Date
2012-06-13
Last Update Date
2016-09-23
Business Address
-- CORBIN MOBERG
605 S COOLIDGE ST
MOSES LAKE, WA 98837-1893
Phone number: 509-793-9785
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Mailing Address
-- CORBIN MOBERG
9627 SUPERIOR CT NE
MOSES LAKE, WA 98837-8528
Phone number: 509-760-0399
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