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Individual

MR. JOSHUA STEPHEN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC/LAT

Contact information

Practice address
501 WESTMINSTER AVE, FULTON, MO 65251-1230
(573) 592-5332
(573) 592-6211
Mailing address
501 WESTMINSTER AVE, FULTON, MO 65251-1230
(573) 592-5332
(573) 592-6211

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2005025974
MO

Other

Enumeration date
10/29/2008
Last updated
10/29/2008
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