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Individual

DEBORAH ZIMOMRA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
29700 LAKE SHORE BLVD, WILLOWICK, OH 44095-4609
(440) 944-2801
(440) 944-8713
Mailing address
29700 LAKE SHORE BLVD, WILLOWICK, OH 44095-4609
(440) 944-2801
(440) 944-8713

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-15306
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0321806
PHARMACIST
OH
Enumeration date
12/14/2020
Last updated
12/14/2020
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