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Individual

KAYLA L THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
204 PROSPECT ST, LISBON, ND 58054-4050
(701) 680-2866
Mailing address
204 PROSPECT ST, LISBON, ND 58054-4050
(701) 680-2866

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
ND

Other

Enumeration date
01/18/2025
Last updated
01/18/2025
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