Individual
MS. KELLI YVONNE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 4TH AVE SE, AITKIN, MN 56431-1715
(218) 429-0140
Mailing address
13 4TH AVE SE, AITKIN, MN 56431-1715
(218) 429-0140
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
1063186-1-FADS
MN
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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