GLEN THOMPSON

BEREA, KY
NPI1629299268
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: KY  2222)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
-- GLEN THOMPSON CSA
138 RAVEN DR
BEREA, KY 40403
Phone number: 859-200-3356
Mailing Address
-- GLEN THOMPSON CSA
138 RAVEN DR
BEREA, KY 40403
Phone number: 859-200-3356
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