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Individual

DANA MARIE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IDMT

Contact information

Practice address
819 RHS/SG, 6944 GODDARD DRIVE, MALMSTROM AFB, MT 59404
(406) 868-7913
Mailing address
819 RHS/SG, 6944 GODDARD DRIVE, MALMSTROM AFB, MT 59404
(406) 632-3644

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
05/05/2009
Last updated
09/09/2009
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