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Individual

CAROL A THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1202 E MARYLAND AVE, #1E, PHOENIX, AZ 85014-1342
(602) 230-7177
Mailing address
PO BOX 16777, PHOENIX, AZ 85011-6777
(602) 230-7177

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT03486P
AZ

Other

Enumeration date
06/16/2009
Last updated
06/16/2009
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