Individual
BLAINE L THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 E MARKET ST, LIMA, OH 45801-4535
(567) 703-9064
Mailing address
311 E MARKET ST, LIMA, OH 45801-4535
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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