Individual
JUSTI THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4817 CIARA ST, DURANT, OK 74701
(580) 372-6738
Mailing address
4817 SIARA DR, DURANT, OK 74701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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