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Individual

MR. JACE EUGENE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
410 WINDFIELDS WAY, BEAUMONT, CA 92223-7011
(951) 259-8659
Mailing address
410 WINDFIELDS WAY, BEAUMONT, CA 92223-7011
(951) 259-8659

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
283285
CA

Other

Enumeration date
01/18/2017
Last updated
01/18/2017
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