MARY ELSA THEOBALD

BROOKS, ME
NPI1356418685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ME  R030807)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
-- MARY ELSA THEOBALD NP
55 REYNOLDS ROAD
BROOKS, ME 04915
Phone number: 207-722-3488
Mailing Address
-- MARY ELSA THEOBALD NP
PO BOX 159
BROOKS, ME 04921-0159
Phone number: 207-722-3488
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