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Individual

AARON GUTHRIE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2289
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100047756
CARITEN/PHP
TN
01
4082556
BLUE CROSS/BLUE SHIELD
TN
Enumeration date
09/11/2006
Last updated
02/24/2011
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