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1013366053
TINA THOMAS
IRVINE, CA
NPI
1013366053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 95002076)
Enumeration Date
2016-06-10
Last Update Date
2016-06-10
Business Address
-- TINA THOMAS
19742 MACARTHUR BLVD STE 101
IRVINE, CA 92612-2447
Phone number: 949-955-0202
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Mailing Address
-- TINA THOMAS
19742 MACARTHUR BLVD STE 101
IRVINE, CA 92612-2447
Phone number: 949-955-0202
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