Individual
MR. CHESTER LEE THOMAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3329 PENNSYLVANIA ST, GARY, IN 46409-1026
(219) 316-2214
Mailing address
3329 PENNSYLVANIA ST, GARY, IN 46409-1026
(219) 316-2214
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
6550017256
IN
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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