BLAKE ORION THEABOLD

CORPUS CHRISTI, TX
NPI1568216596
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-16
Last Update Date2024-04-16
Business Address
BLAKE ORION THEABOLD DO
600 ELIZABETH ST # 9B9.209
CORPUS CHRISTI, TX 78404-2235
Phone number: 361-861-1864
Mailing Address
BLAKE ORION THEABOLD DO
600 ELIZABETH ST # 9B9.209
CORPUS CHRISTI, TX 78404-2235
Phone number:
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