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Individual

ALEA MARIE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
4015 AHAN DR, CHARLOTTE, NC 28210
(412) 951-0434

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
317606
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6795
NC

Other

Enumeration date
08/04/2021
Last updated
10/08/2022
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