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Individual

GLENN HUNTER THOMPSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1244 N MAIN ST, SUITE100, TOOELE, UT 84074-9838
(435) 833-9200
(435) 833-9223
Mailing address
1244 N MAIN ST, TOOELE, UT 84074-9839
(435) 833-9200
(435) 833-9223

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
17-6239-1202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
870395551005
UT
Enumeration date
11/29/2005
Last updated
07/08/2007
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