Individual
STEPHANIE LAGALE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3353 MCDANIEL, BLANCHARD, OK 73010-9705
(931) 217-8644
Mailing address
3353 MCDANIEL, BLANCHARD, OK 73010-9705
(931) 217-8644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R0119766
OK
Other
Enumeration date
08/15/2021
Last updated
08/15/2021
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