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1710310768
TINA N THEOBALD
PLANT CITY, FL
NPI
1710310768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9268946)
Enumeration Date
2013-08-14
Last Update Date
2013-11-14
Business Address
Mrs. TINA N THEOBALD ARNP
3302 W BAKER ST
PLANT CITY, FL 33563-2851
Phone number: 813-752-1336
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Mailing Address
Mrs. TINA N THEOBALD ARNP
3302 W BAKER ST
PLANT CITY, FL 33563-2851
Phone number: 813-752-1336
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