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1942952536
DWAN SAMUEL THOMAS
OCALA, FL
NPI
1942952536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
Mr. DWAN SAMUEL THOMAS Medicaid Provider
2 REDWOOD TRCE
OCALA, FL 34472-6297
Phone number: 352-433-8457
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Mailing Address
Mr. DWAN SAMUEL THOMAS Medicaid Provider
485 NW 45TH LN
OCALA, FL 34475-9546
Phone number: 352-433-8457
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