Individual
DR. GAYLA SUZANNA MAE THOMBLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2901 N WALNUT ST, BLOOMINGTON, IN 47404-2065
(812) 336-7246
Mailing address
204 SE 7TH ST, WASHINGTON, IN 47501-3606
(812) 259-5639
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002980A
IN
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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