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Individual
MRS. KRISTIN A THEOBALD
Active
Individual
MRS. KRISTIN A THEOBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGC
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
70.000129
OH
Other
Enumeration date
10/14/2005
Last updated
02/02/2022
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