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1659569481
PETER J THEOBALD
SPOKANE, WA
NPI
1659569481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA RC00058671)
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
PETER J THEOBALD
3919 N MAPLE ST
SPOKANE, WA 99205-1349
Phone number: 509-444-8888
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Mailing Address
PETER J THEOBALD
3919 N MAPLE ST
SPOKANE, WA 99205-1349
Phone number: 509-444-8888
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