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1083665582
GORDON M THOMAS
GRANVILLE, NY
NPI
1083665582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 140385)
Enumeration Date
2006-05-12
Last Update Date
2021-06-08
Business Address
GORDON M THOMAS D.O.
79 NORTH ST GRANVILLE FAMILY HEALTH CENTER
GRANVILLE, NY 12832-1137
Phone number: 518-642-0612
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Mailing Address
GORDON M THOMAS D.O.
100 PARK STREET GLENS FALLS HOSPITAL - CREDENTIALING
GLENS FALLS, NY 12801-0304
Phone number: 518-926-5924
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