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Individual

ANI THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
585 W NEES AVE # 115, FRESNO, CA 93711-6279
(559) 365-5001
Mailing address
585 W NEES AVE # 115, FRESNO, CA 93711-6279
(559) 365-5001

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT27273
CA

Other

Enumeration date
01/10/2013
Last updated
01/10/2013
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