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1386729929
RUDOLPH A. THEOBALD
FORT WORTH, TX
NPI
1386729929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NR0400X
(Licence: TX 8869)
Enumeration Date
2006-10-25
Last Update Date
2023-06-21
Business Address
Dr. RUDOLPH A. THEOBALD D.C.
6024 SOUTWEST BLVD
FORT WORTH, TX 76109
Phone number: 817-665-5495
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Mailing Address
Dr. RUDOLPH A. THEOBALD D.C.
PO BOX 123525
FORT WORTH, TX 76121-3525
Phone number: 817-228-2896
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