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1922352913
MAVIS THOMAS
PORTSMOUTH, VA
NPI
1922352913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: VA 0024170372)
Enumeration Date
2012-10-30
Last Update Date
2014-12-15
Business Address
Prof. MAVIS THOMAS Nurse Practitioner
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Phone number: 757-953-5008
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Mailing Address
Prof. MAVIS THOMAS Nurse Practitioner
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2197
Phone number: 757-953-8959
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