Individual
GAYLE ANN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
51010 28TH ST, PAW PAW, MI 49079-9406
(269) 655-5956
Mailing address
51010 28TH ST, PAW PAW, MI 49079-9406
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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