PETER J THEOBALD

SPOKANE, WA
NPI1659569481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  RC00058671)
Enumeration Date2007-10-05
Last Update Date2007-10-05
Business Address
-- PETER J THEOBALD
3919 N MAPLE ST
SPOKANE, WA 99205-1349
Phone number: 509-444-8888
Mailing Address
-- PETER J THEOBALD
3919 N MAPLE ST
SPOKANE, WA 99205-1349
Phone number: 509-444-8888
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