Individual
JEANNETT THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 N SMITH ST, VINITA, OK 74301-2314
(918) 418-8141
Mailing address
440 N SMITH ST, VINITA, OK 74301-2314
(918) 418-8141
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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