Individual
DEBORAH J THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 328-6462
(417) 328-6654
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 328-6462
(417) 328-6654
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001000570
MO
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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