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Individual

DR. GAUTHAMA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., C.C.S.P.

Contact information

Practice address
344 HANCOCK ST, SUITE 1, RUMFORD, ME 04276-1937
(207) 364-7931
(207) 364-3644
Mailing address
344 HANCOCK ST, SUITE 1, RUMFORD, ME 04276-1937
(207) 364-7931
(207) 364-3644

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CR1066
ME
171100000X
Acupuncturist
CR1066
ME

Other

Enumeration date
04/10/2006
Last updated
10/09/2008
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