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Individual

NICOLA THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9363 WEDGEWOOD DR, TAMARAC, FL 33321-3567
(954) 907-5125
Mailing address
9363 WEDGEWOOD DR, TAMARAC, FL 33321-3567
(954) 907-5125

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
213224
TX

Other

Enumeration date
12/09/2015
Last updated
12/09/2015
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