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Individual

MRS. ROSSALIND MARIA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2305 BENSON RDG, LITHONIA, GA 30058-6526
(678) 760-8723
(678) 580-0444
Mailing address
2305 BENSON RIDGE, LITHONIA, GA 30058
(678) 760-8723
(678) 580-0444

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN077685
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
92-0555823
GA
Enumeration date
02/09/2011
Last updated
11/16/2022
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