Individual
MS. MARY JO THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1326 E DAYTON ST, MADISON, WI 53703-2487
(608) 255-1339
Mailing address
1326 E DAYTON ST, MADISON, WI 53703-2487
(608) 255-1339
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28237-031
WI
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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