GWENDOLYN IRENE THACKER

MIAMISBURG, OH
NPI1619302791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OH  COA.14947-NP)
Enumeration Date2013-09-09
Last Update Date2020-11-17
Business Address
GWENDOLYN IRENE THACKER CNP
4000 MIAMISBURG CENTERVILLE RD SUITE 110
MIAMISBURG, OH 45342-7615
Phone number: 937-865-9000
Mailing Address
GWENDOLYN IRENE THACKER CNP
4000 MIAMISBURG CENTERVILLE RD STE 110
MIAMISBURG, OH 45342-3674
Phone number: 937-865-9000
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