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1558916247
SHINY SUSAN THOMAS
MESA, AZ
NPI
1558916247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: AZ RNP230519)
Enumeration Date
2019-08-08
Last Update Date
2019-08-08
Business Address
SHINY SUSAN THOMAS NP
7615,EAST BASELINE ROAD
MESA, AZ 85209
Phone number: 480-962-0101
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Mailing Address
SHINY SUSAN THOMAS NP
99 S GOLD DR
APACHE JUNCTION, AZ 85120-5035
Phone number: 480-962-0101
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