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Individual

MRS. MICHELE MARY THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
42 HUSKIE LANE, MALONE, NY 12953
(518) 483-7807
(518) 483-7823
Mailing address
42 HUSKIE LANE, MALONE, NY 12953
(518) 483-7807
(518) 483-7823

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
382631-1
NY

Other

Enumeration date
04/16/2012
Last updated
04/16/2012
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