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1124250055
THONG P THOR
APPLETON, WI
NPI
1124250055
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Professional Name
THONG P THOR
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2538-23)
Enumeration Date
2009-08-11
Last Update Date
2019-10-03
Business Address
THONG P THOR PA
2500 E CAPITOL DR
APPLETON, WI 54911
Phone number: 920-830-6788
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Mailing Address
THONG P THOR PA
122 E COLLEGE AVE
APPLETON, WI 54911-5794
Phone number: 920-996-3264
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