Individual
JIMMIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 E MAIN ST, DAYTON, OH 45426-2909
(254) 577-0733
Mailing address
714 E MAIN ST, DAYTON, OH 45426-2909
(254) 577-0733
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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