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1730968280
AUSTIN THEISZ
TERRE HAUTE, IN
NPI
1730968280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10004133A)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
AUSTIN THEISZ PA-C
3560 S 4TH ST
TERRE HAUTE, IN 47802-5540
Phone number: 812-235-8496
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Mailing Address
AUSTIN THEISZ PA-C
3560 S 4TH ST
TERRE HAUTE, IN 47802-5540
Phone number: 812-235-8496
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