ANGELA MICHELLE THEOBALD

WICHITA, KS
NPI1427570373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KS  53-77752)
Enumeration Date2017-07-12
Last Update Date2017-07-12
Business Address
ANGELA MICHELLE THEOBALD
1919 N AMIDON AVE STE 100
WICHITA, KS 67203-2118
Phone number: 316-866-2000
Mailing Address
ANGELA MICHELLE THEOBALD
1122 N TOPEKA ST
WICHITA, KS 67214-2810
Phone number: 316-866-2000
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