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1730670159
SHANNON CHRISTINE THEOBALD
BETHLEHEM, PA
NPI
1730670159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: PA MT215034)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
Dr. SHANNON CHRISTINE THEOBALD MD
801 OSTRUM ST
BETHLEHEM, PA 18015-1000
Phone number: 484-526-4670
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Mailing Address
Dr. SHANNON CHRISTINE THEOBALD MD
201 N 3RD ST APT 115
ALLENTOWN, PA 18102-3568
Phone number: 864-553-6540
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