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1003800566
MARY JEAN THOMAS
SYRACUSE, NY
NPI
1003800566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F330382)
Enumeration Date
2005-09-09
Last Update Date
2007-07-08
Business Address
-- MARY JEAN THOMAS FNP
736 IRVING AVE
SYRACUSE, NY 13210-1687
Phone number: 315-470-7111
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Mailing Address
-- MARY JEAN THOMAS FNP
4140 TOMMYS TRL
LIVERPOOL, NY 13090-3737
Phone number: 315-451-2997
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