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1588601108
THOMAS E MOON
COLUMBUS, OH
NPI
1588601108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50000162)
Enumeration Date
2006-06-01
Last Update Date
2012-02-23
Business Address
-- THOMAS E MOON PA
285 E STATE ST SUITE 260
COLUMBUS, OH 43215-4354
Phone number: 614-566-9035
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Mailing Address
-- THOMAS E MOON PA
5350 FRANTZ RD
DUBLIN, OH 43016-4259
Phone number:
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