Individual
TERESA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 NORTH LINCOLN BOULEVARD, OKLAHOMA CITY, OK 73105
(405) 424-7711
Mailing address
4400 NORTH LINCOLN BOULEVARD, OKLAHOMA CITY, OK 73105
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0074633
OK
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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