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Individual

COLIN ROBERT THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPNP

Contact information

Practice address
755 NORLAND AVE, SUITE 200, CHAMBERSBURG, PA 17201-4221
(717) 217-6700
Mailing address
755 NORLAND AVE, SUITE 200, CHAMBERSBURG, PA 17201-4221

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
4704250694
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704250694
MI
363LP0200X
Pediatric Nurse Practitioner
800720
TX

Other

Enumeration date
03/10/2011
Last updated
06/23/2011
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