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Individual

NATHAN J THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-5432
Mailing address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-5432

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
88741
OK

Other

Enumeration date
04/03/2015
Last updated
04/03/2015
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