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Individual

KEYANNA THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 250-5253
Mailing address
702 MEADOW LN, CACHE, OK 73527-5200

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-310247
OK

Other

Enumeration date
01/25/2023
Last updated
01/25/2023
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