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1104242825
BETHANY JADE THOMAS
PHILADELPHIA, PA
NPI
1104242825
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Former Name
BETHANY JADE FRASCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP013652)
Enumeration Date
2014-03-06
Last Update Date
2017-09-14
Business Address
-- BETHANY JADE THOMAS CRNP
3400 CIVIC CENTER BLVD 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104-5127
Phone number: 215-662-3606
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Mailing Address
-- BETHANY JADE THOMAS CRNP
3400 CIVIC CENTER BLVD 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104-5127
Phone number: 215-662-3606
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