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Individual
MARLENE CABANILLAS THOMPSON
Active
Individual
MARLENE CABANILLAS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
223367
AZ
183700000X
Pharmacy Technician
T026067
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1116867
NABP
AZ
Enumeration date
08/18/2015
Last updated
08/11/2020
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