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Individual
NANCY LAURA THAYER
Active
Individual
NANCY LAURA THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03237
NC
363A00000X
Physician Assistant
PA1700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292781100
—
FL
Enumeration date
05/07/2007
Last updated
02/18/2013
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