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1134761042
KELLY THOMAS
PORT HURON, MI
NPI
1134761042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI 4704259921)
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
KELLY THOMAS MSN, AGPCNP-C
2540 16TH ST
PORT HURON, MI 48060-6405
Phone number: 810-987-1000
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Mailing Address
KELLY THOMAS MSN, AGPCNP-C
2540 16TH ST
PORT HURON, MI 48060-6405
Phone number: 810-987-1000
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