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1952660359
JANTIRA TARA THOMAS
WESTLAKE, OH
NPI
1952660359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OH 34011590)
Enumeration Date
2012-05-07
Last Update Date
2015-07-10
Business Address
-- JANTIRA TARA THOMAS D.O.
29000 CENTER RIDGE RD
WESTLAKE, OH 44145-5293
Phone number: 440-827-5784
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Mailing Address
-- JANTIRA TARA THOMAS D.O.
34476 SAINT MARON BLVD
AVON, OH 44011-3219
Phone number: 814-923-1324
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