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Individual

MS. THEODORA KOKTSIDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HEALTH ADMINISTRATOR

Contact information

Practice address
346 FOX TRAIL CT, HOBART, IN 46342-2351
(219) 677-7018
(219) 940-9429
Mailing address
346 FOX TRAIL CT, HOBART, IN 46342-2351
(219) 677-7018
(219) 940-9429

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
02/25/2009
Last updated
02/25/2009
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