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1508517996
BENITA JACOB THOMAS
AUSTIN, TX
NPI
1508517996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 205708)
Enumeration Date
2022-01-17
Last Update Date
2023-01-02
Business Address
BENITA JACOB THOMAS NP
4534 W GATE BLVD STE 110
AUSTIN, TX 78745-1470
Phone number: 405-204-7251
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Mailing Address
BENITA JACOB THOMAS NP
4534 W GATE BLVD STE 110
AUSTIN, TX 78745-1470
Phone number: 405-204-7251
Copy
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