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Individual

ANGELA VICTORIA THRAHSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 G ST, ARNOLD ANNEX, BLDG 5901, BILOXI, MS 39534-2410
(228) 377-0801
(228) 377-0371
Mailing address
151 GRANDE VIEW DR, APT #221, BILOXI, MS 39531-4717
(240) 606-2416

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
PT1120
MS
171000000X
Military Health Care Provider
PT870615
DC

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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