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DR. THOMAS MARK LA CROIX PH.D.

>> Specialist/Technologist, Other >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1083056527

Individual Registrant:
DR. THOMAS MARK LA CROIX PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
14157 BRANDING IRON DR  HELENDALE, CA 92342-7736 US
Tel: 316-323-3828  Fax: --

Contact information for business:
PO BOX 2458  HELENDALE, CA 92342-2458 US
Tel: 316-323-3828  Fax: --

Registration Information:
NPI: 1083056527
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y246Z00000XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other
AZ1990

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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