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1235638081
SAMUEL RAYMOND THEIS
WRIGHT PATTERSON AFB, OH
NPI
1235638081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OH 34.014690)
Enumeration Date
2018-02-07
Last Update Date
2024-09-15
Business Address
Dr. SAMUEL RAYMOND THEIS DO
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433-5529
Phone number: 937-257-1770
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Mailing Address
Dr. SAMUEL RAYMOND THEIS DO
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433-5529
Phone number: 937-257-1770
Copy
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