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1063017432
ETHAN LEE THOMAS
GRAND FORKS, ND
NPI
1063017432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ND R40656)
Enumeration Date
2020-12-02
Last Update Date
2021-10-05
Business Address
ETHAN LEE THOMAS FNP-C
4440 S. WASHINGTON ST.
GRAND FORKS, ND 58201
Phone number: 701-732-7000
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Mailing Address
ETHAN LEE THOMAS FNP-C
2401 DEMERS AVE
GRAND FORKS, ND 58201
Phone number: 701-780-6468
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