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1336227313
SUSAN MARGARET THEOBALD
MADISON, WI
NPI
1336227313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
SUSAN MARGARET THEOBALD
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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Mailing Address
SUSAN MARGARET THEOBALD
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Copy
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