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Individual

MONICA THIRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
N7695 RR AND LTL RD, CASCO, WI 54205-9754
(920) 837-7510
Mailing address
N7695 RR AND LTL RD, CASCO, WI 54205-9754
(920) 837-7510

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13515-40
WI

Other

Enumeration date
04/21/2014
Last updated
04/21/2014
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