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Individual
THOMPSON LEE
Active
Individual
THOMPSON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
025328
NY
363A00000X
Physician Assistant
Primary
25MP00803800
NJ
Other
Enumeration date
05/08/2020
Last updated
07/01/2024
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