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1235882804
ITASCA THOMPSON
ARDMORE, OK
NPI
1235882804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-02-02
Last Update Date
2022-02-02
Business Address
ITASCA THOMPSON
2497 HIGHLAND RD
ARDMORE, OK 73401
Phone number: 972-639-2483
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Mailing Address
ITASCA THOMPSON
PO BOX 116335
CARROLLTON, TX 75011-6335
Phone number: 972-537-6868
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