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1346411568
JOANNA RAE THOMPSON
FORT KNOX, KY
NPI
1346411568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: KY 1631)
Enumeration Date
2008-03-15
Last Update Date
2008-03-15
Business Address
-- JOANNA RAE THOMPSON
289 IRELAND AVE
FORT KNOX, KY 40121-5111
Phone number: 502-624-9007
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Mailing Address
-- JOANNA RAE THOMPSON
137 E EASTERN HILLS BLVD
SALEM, IN 47167-9719
Phone number:
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