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Individual

MADISON ANDERTON THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
746 N COLLEGE RD STE A, TWIN FALLS, ID 83301-3486
(208) 814-7271
Mailing address
746 N COLLEGE RD STE A, TWIN FALLS, ID 83301-3486
(208) 814-7271

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
50639
ID

Other

Enumeration date
07/10/2017
Last updated
07/10/2017
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