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1205102522
NICHOLAS J THEOBALD
SACRAMENTO, CA
NPI
1205102522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 4155)
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
-- NICHOLAS J THEOBALD CRNA
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number: 916-688-2000
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Mailing Address
-- NICHOLAS J THEOBALD CRNA
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number:
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