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Individual

THOMAS JOSEPH WHITLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
6400 W NEWBERRY RD, GAINESVILLE, FL 32605-6605
(352) 333-4185
Mailing address
5405 NW 38TH PL, GAINESVILLE, FL 32606-6908
(352) 339-0962

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN193101
GA
163W00000X
Registered Nurse
Primary
RN9233916
FL

Other

Enumeration date
06/28/2008
Last updated
06/28/2008
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