MS. Tabatha L Obert

NPI #1457599714 in Forest Lake, Minnesota

Provider Information

NPI Number: 1457599714
Entity Type: Individual
Name: MS. Tabatha L Obert
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Jan 25, 2009
Last Updated: Jan 25, 2009

Practice Location

Address: 115 LAKE ST N
City: Forest Lake
State: Minnesota
ZIP Code: 55025-2504
Phone: (763) 607-8473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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