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Individual

DR. CLINTON EDWARD THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
60991 BELL SPRINGS ROAD, LAYTONVILLE, CA 95454-0603
(707) 272-0782
(650) 745-0869
Mailing address
PO BOX 603, LAYTONVILLE, CA 95454-0603
(707) 272-0782
(650) 745-0869

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A45458
CA

Other

Enumeration date
12/08/2009
Last updated
12/08/2009
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