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Fred H Thomas III, LPN

Licensed Practical Nurse in Pendleton, OR. Individual provider (NPI-1).

NPI number1760645857
StatusActive
Last updated in NPPESJul 8, 2008

Details

NPI
1760645857
Entity type
Individual (NPI-1)
Name
Fred H Thomas III
Credential
LPN
Sex
Male
Sole proprietor
No
Enumeration date
Jul 8, 2008
Last updated
Jul 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseXXORYes

Practice location

331 Se 2nd St
Pendleton, OR 97801-2224

Phone 541-889-9167 · Fax 541-889-7873

Mailing address

Po Box 1290
Ontario, OR 97914-0136

Phone 541-889-9167 · Fax 541-889-7873

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