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Individual

HASANI THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
27225 CAMP PLENTY RD STE 1D, SANTA CLARITA, CA 91351-2654
(661) 542-7055
Mailing address
4654 E AVENUE S, PALMDALE, CA 93552-4454
(661) 585-0263

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
10/09/2020
Last updated
10/09/2020
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