Individual
BONNIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 E MICHIGAN AVE, SEBRING, OH 44672-1436
(330) 938-2040
Mailing address
13893 THOMPSON ST, ALLIANCE, OH 44601-2032
(330) 823-4323
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2270797
—
OH
Enumeration date
03/23/2007
Last updated
07/08/2007
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