Individual
CASEY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
63611 FRAZEE LN, MC ARTHUR, OH 45651-8486
(740) 856-2437
Mailing address
63611 FRAZEE LN, MCARTHUR, OH 45651
(740) 856-2437
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN120400
OH
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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