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Individual

BRIAN THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RNFA

Contact information

Practice address
70542 SWINGLE RD, BRIDGEPORT, OH 43912-9722
(740) 635-1877
Mailing address
70542 SWINGLE RD, BRIDGEPORT, OH 43912-9722

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
51357
WV
163WR0006X
Registered Nurse First Assistant
RN.277273-
OH

Other

Enumeration date
03/21/2015
Last updated
03/21/2015
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