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JACQULINE LANE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2006 N 4TH ST, SUITE 200, INDIANOLA, IA 50125
(515) 461-9784
Mailing address
114 S CENTRAL AVE, LACONA, IA 50139-1006
(515) 402-0477

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A182650
IA

Other

Enumeration date
01/30/2025
Last updated
01/30/2025
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