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1366189896
JACQUELINE CLAIRE THOMAS
SUMMERDALE, AL
NPI
1366189896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AL 1-164375)
Enumeration Date
2022-05-17
Last Update Date
2024-08-29
Business Address
JACQUELINE CLAIRE THOMAS
19283 HIGHWAY 59
SUMMERDALE, AL 36580-3005
Phone number: 251-523-5437
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Mailing Address
JACQUELINE CLAIRE THOMAS
19283 HIGHWAY 59
SUMMERDALE, AL 36580-3005
Phone number:
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