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1609652817
CICIMOL THOMAS
SOUTHLAKE, TX
NPI
1609652817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1134263)
Enumeration Date
2023-09-04
Last Update Date
2023-09-04
Business Address
CICIMOL THOMAS APRN
150 GINGER CT
SOUTHLAKE, TX 76092-6046
Phone number: 305-801-6448
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Mailing Address
CICIMOL THOMAS APRN
150 GINGER CT
SOUTHLAKE, TX 76092-6046
Phone number: 305-801-6448
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