Amanda Irene Thompson

NPI #1417482381 in Cloquet, Minnesota

Provider Information

NPI Number: 1417482381
Entity Type: Individual
Name: Amanda Irene Thompson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Apr 27, 2017
Last Updated: Apr 27, 2017

Practice Location

Address: 927 TRETTEL LN
City: Cloquet
State: Minnesota
ZIP Code: 55720-1345
Phone: (218) 879-1227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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