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1952459562
KAREN DIANNE THEOBALD
SANTA ROSA, CA
NPI
1952459562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- KAREN DIANNE THEOBALD
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-5158
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Mailing Address
-- KAREN DIANNE THEOBALD
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number:
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