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1477669133
THOMAS JOHN THACKER
TALLAHASSEE, FL
NPI
1477669133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL 6168)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
Dr. THOMAS JOHN THACKER DDS
2600 CARE DR
TALLAHASSEE, FL 32308-4469
Phone number: 850-878-7916
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Mailing Address
Dr. THOMAS JOHN THACKER DDS
2600 CARE DR
TALLAHASSEE, FL 32308-4469
Phone number: 850-878-7916
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