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Individual

MRS. SARA E THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, ATC

Contact information

Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 444-6078
(260) 436-8585
Mailing address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 444-6078
(260) 436-8585

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001752A
IN

Other

Enumeration date
05/10/2007
Last updated
06/15/2011
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