Individual
MRS. JENNIFER LYNN THOMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
411 E ELM ST, LE ROY, IL 61752-1535
(309) 868-1793
(309) 962-3270
Mailing address
411 E ELM ST, LE ROY, IL 61752-1535
(309) 868-1793
(309) 962-3270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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