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Individual
THOMAS L STICKLER
Active
Individual
THOMAS L STICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006204
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3032480
—
KY
05
—
3810016489
—
WV
05
—
7100097770
—
KY
Enumeration date
11/30/2009
Last updated
04/30/2012
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