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1194201475
HEATHER ANN THEOBALD
PHOENIX, AZ
NPI
1194201475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AZ 009525)
Enumeration Date
2018-07-19
Last Update Date
2022-06-29
Business Address
HEATHER ANN THEOBALD DO
4530 E MUIRWOOD DR STE 110
PHOENIX, AZ 85048-7693
Phone number: 480-763-5808
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Mailing Address
HEATHER ANN THEOBALD DO
4530 E MUIRWOOD DR STE 110
PHOENIX, AZ 85048-7693
Phone number: 480-763-5808
Copy
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