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1629512124
LISA MARIE BOBERG
BLOOMINGTON, MN
NPI
1629512124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2053)
Enumeration Date
2016-12-19
Last Update Date
2016-12-19
Business Address
Mrs. LISA MARIE BOBERG ATC
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-831-8742
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Mailing Address
Mrs. LISA MARIE BOBERG ATC
7105 RIVERVIEW TER NE
FRIDLEY, MN 55432-3046
Phone number: 608-332-8400
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