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1760647515
ST. THOMAS PAIN, LLC
BROOKFIELD, WI
NPI
1760647515
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Entity Type
Organization
Authorized Contact
DERRICK JONES
President
340-998-3668
Organization Subpart ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
ST. THOMAS PAIN, LLC
225 S EXECUTIVE DR
BROOKFIELD, WI 53005-4257
Phone number: 262-787-4026
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Mailing Address
ST. THOMAS PAIN, LLC
225 S EXECUTIVE DR
BROOKFIELD, WI 53005-4257
Phone number: 262-787-4026
Copy
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