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Individual

MR. JEFFERY BUTLER THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN, NBC-HWC

Contact information

Practice address
2489 DIPLOMAT PKWY E, CAPE CORAL, FL 33909-5422
(239) 652-1800
Mailing address
605 SE 23RD ST, CAPE CORAL, FL 33990-2544
(503) 367-7000

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
04/02/2021
Last updated
04/02/2021
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