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1508840828
TRESARAE SHAWN THOMAS
BOAZ, AL
NPI
1508840828
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Former Name
TRESARAE PATE LANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL PA-430)
Enumeration Date
2005-11-30
Last Update Date
2013-09-25
Business Address
Ms. TRESARAE SHAWN THOMAS P.A.C
2505 US HIGHWAY 431
BOAZ, AL 35957
Phone number: 256-593-8310
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Mailing Address
Ms. TRESARAE SHAWN THOMAS P.A.C
2570 TURNPIKE RD
ALBERTVILLE, AL 35950-0501
Phone number: 256-572-3271
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