Individual
MR. DAVID MARINE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
198 STEVENS AVE, COLUMBUS, OH 43222-1026
(614) 288-9094
Mailing address
198 STEVENS AVE, COLUMBUS, OH 43222-1026
(614) 288-9094
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 081756
OH
Other
Enumeration date
10/21/2012
Last updated
10/21/2012
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