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1396460259
JOLLY THOMAS
PHOENIX, AZ
NPI
1396460259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AZ 281739)
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
JOLLY THOMAS FNP-C
3115 W BAJADA DR
PHOENIX, AZ 85083-5822
Phone number: 480-619-7856
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Mailing Address
JOLLY THOMAS FNP-C
3115 W BAJADA DR
PHOENIX, AZ 85083-5822
Phone number: 480-619-7856
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