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1144567355
PHILIP THOMAS
LAWRENCEVILLE, GA
NPI
1144567355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN215551)
Enumeration Date
2013-01-08
Last Update Date
2013-01-08
Business Address
-- PHILIP THOMAS
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 770-339-2395
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Mailing Address
-- PHILIP THOMAS
107 NORTHDALE PL
LAWRENCEVILLE, GA 30046-4571
Phone number: 770-995-8141
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