Individual
JENNIFER DIANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 W JAMES AVE, ENID, OK 73703-4538
(580) 231-0534
Mailing address
1216 W JAMES AVE, ENID, OK 73703-4538
(580) 231-0534
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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