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1154181527
THOMAS WAITES
MISHAWAKA, IN
NPI
1154181527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
THOMAS WAITES DO
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545-1468
Phone number: 574-335-6500
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Mailing Address
THOMAS WAITES DO
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545-1468
Phone number: 574-335-6500
Copy
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