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Individual

ERNESTINE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
52 PORTER ST, STOUGHTON, MA 02072
(781) 341-3400
Mailing address
65 WESTMORE RD, MATTAPAN, MA 02126
(617) 256-3355

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1103080
MA

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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