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1396781233
CARYN THEOBALD
FORT WAYNE, IN
NPI
1396781233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 35-082516)
Enumeration Date
2006-06-21
Last Update Date
2017-01-12
Business Address
-- CARYN THEOBALD MD
3926 NEW VISION DR
FORT WAYNE, IN 46845-1712
Phone number: 419-445-2015
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Mailing Address
-- CARYN THEOBALD MD
442 W HIGH ST
BRYAN, OH 43506-1681
Phone number: 419-636-4517
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