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Individual

JUDI THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1717 W 7TH ST, ASHTABULA, OH 44004-2878
(440) 228-1550
Mailing address
1717 W 7TH ST, ASHTABULA, OH 44004-2878
(440) 228-1550

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400592050307
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2807949
OH
Enumeration date
07/19/2013
Last updated
07/19/2013
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