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1346664745
PHILLIP THOMAS
CHARLESTOWN, IN
NPI
1346664745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: KY ky1358)
Enumeration Date
2014-02-06
Last Update Date
2014-02-06
Business Address
Mr. PHILLIP THOMAS
102 HILLSIDE CIR
CHARLESTOWN, IN 47111-1007
Phone number: 502-548-2163
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Mailing Address
Mr. PHILLIP THOMAS
102 HILLSIDE CIR
CHARLESTOWN, IN 47111-1007
Phone number: 502-548-2163
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