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1033660733
KELLY THOMAS
FORT HUACHUCA, AZ
NPI
1033660733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP036941)
Enumeration Date
2016-10-18
Last Update Date
2016-10-18
Business Address
-- KELLY THOMAS LPN
2240 WINROW AVE USA MEDDAC, RWBAHC
FORT HUACHUCA, AZ 85613
Phone number: 520-538-0393
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Mailing Address
-- KELLY THOMAS LPN
4824 S SANTA AURELIA AVE
SIERRA VISTA, AZ 85650-9366
Phone number: 520-249-0694
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