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1043757156
TINA THOMAS
FREDERICK, MD
NPI
1043757156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MD R225035)
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
-- TINA THOMAS CRNP
1475 TANEY AVE
FREDERICK, MD 21702-4747
Phone number: 301-662-1930
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Mailing Address
-- TINA THOMAS CRNP
1475 TANEY AVE
FREDERICK, MD 21702-4747
Phone number:
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