Individual
ELIZABETH RUTH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN IV
Contact information
Practice address
546 PARK AVE, GALION, OH 44833-1240
(419) 564-3239
Mailing address
546 PARK AVE, GALION, OH 44833-1240
(419) 564-3239
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
122338
OH
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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