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Individual

DR. JENNIFER THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DVM

Contact information

Practice address
2021 CEDAR CT, STILLWATER, OK 74075-8256
(617) 968-3163
Mailing address
PO BOX 2645, STILLWATER, OK 74076-2645
(617) 968-3163

Taxonomy

Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
5551
OK
174M00000X
Veterinarian
7201
MA
174MM1900X
Medical Research Veterinarian
5551
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44822
OKLAHOMA STATE BUREAU OF NARCOTICS AND DANGEROUS DRUG CONTROL
OK
01
5551
OKLAHOMA STATE BOARD OF VETERINARY MEDICAL EXAMINERS
OK
01
7201
MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE, BOARD OF VETERINARY MEDICINE
MA
Enumeration date
06/18/2013
Last updated
06/18/2013
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