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1801134259
AMBER MARIE THEALL
BEAUMONT, TX
NPI
1801134259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 737870)
Enumeration Date
2013-01-18
Last Update Date
2014-06-11
Business Address
Mrs. AMBER MARIE THEALL FNP-C
740 HOSPITAL DR SUITE 250
BEAUMONT, TX 77701-4664
Phone number: 409-212-1000
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Mailing Address
Mrs. AMBER MARIE THEALL FNP-C
9180 WASHINGTON BLVD
BEAUMONT, TX 77707-4521
Phone number: 409-543-4431
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