Individual
DEBORAH A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 MYRTLEWOOD RD, WAYZATA, MN 55391-9679
(612) 499-4285
Mailing address
PO BOX 61, WAYZATA, MN 55391-0061
(612) 499-4285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-237999-1
MN
Other
Enumeration date
09/25/2016
Last updated
09/25/2016
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