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Individual

RICHELE LYNN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1111
Mailing address
7388 HAWKSFIELD AVE NW, CANAL FULTON, OH 44614-8135
(330) 854-1190

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP-08927
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063569481
INDIVIDUAL NPI
OH
01
1376559799
GROUP NPI
OH
05
2745122
OH
Enumeration date
01/05/2007
Last updated
01/23/2008
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