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1629049770
ADLY THEBAUD
ORANGE CITY, FL
NPI
1629049770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL ME60436)
Enumeration Date
2006-01-27
Last Update Date
2023-11-07
Business Address
Dr. ADLY THEBAUD MD
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763-8350
Phone number: 386-775-0736
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Mailing Address
Dr. ADLY THEBAUD MD
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763-8350
Phone number: 386-775-0736
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