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Individual

LATOYA R THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
119 S MADISON ST, KOSCIUSKO, MS 39090-3628
(601) 919-7741
Mailing address
512 NORTHVIEW DR, KOSCIUSKO, MS 39090-3165
(662) 633-0164

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2748
MS

Other

Enumeration date
07/29/2020
Last updated
07/29/2020
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