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Individual
MR. NATHAN THOMPSON
Active
Individual
MR. NATHAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704281247
MI
363L00000X
Nurse Practitioner
6690-33
WI
Other
Enumeration date
11/03/2015
Last updated
12/09/2015
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