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Individual

MS. JEAN R THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
549 FAIR ST, BLOOMSBURG, PA 17815-1419
(570) 387-2147
Mailing address
1220 OAK ST, BLOOMSBURG, PA 17815-9434
(570) 784-7079

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN188475L
PA

Other

Enumeration date
04/19/2006
Last updated
07/02/2013
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