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1386605426
THOMAS ERIC THACKER
GLENDALE, AZ
NPI
1386605426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 13403)
Enumeration Date
2006-03-29
Last Update Date
2007-07-09
Business Address
DR. THOMAS ERIC THACKER M.D.
6120 W BELL RD SUITE 110
GLENDALE, AZ 85308-3781
Phone number: 602-978-9053
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Mailing Address
DR. THOMAS ERIC THACKER M.D.
6120 W BELL RD SUITE 110
GLENDALE, AZ 85308-3781
Phone number: 602-978-9053
Copy
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