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Individual

DR. ASHA MARY THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
3311 ALEXANDER RD, PEMBERVILLE, OH 43450-9618
(419) 287-4793
Mailing address
3311 ALEXANDER RD, PEMBERVILLE, OH 43450-9618
(419) 287-4793

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003020
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2079334
OH
Enumeration date
04/09/2007
Last updated
12/12/2007
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