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1356731194
JANEEN M THEOBALD
TAMPA, FL
NPI
1356731194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL ARNP3359822)
Enumeration Date
2015-02-02
Last Update Date
2018-05-18
Business Address
JANEEN M THEOBALD ARNP
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Phone number: 813-745-4673
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Mailing Address
JANEEN M THEOBALD ARNP
1442 HARBOUR WALK RD
TAMPA, FL 33602-5971
Phone number: 321-626-2111
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