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Mary Ellen Thompson

Technician/Technologist, Optician in Nashville, TN. Individual provider (NPI-1).

NPI number1679736532
StatusActive
Last updated in NPPESJul 9, 2008

Details

NPI
1679736532
Entity type
Individual (NPI-1)
Name
Mrs. Mary Ellen Thompson
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 9, 2008
Last updated
Jul 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianLDO700TNYes

Practice location

2531 West End Ave
Nashville, TN 37203-1423

Phone 615-327-1614 · Fax 615-327-2413

Mailing address

2531 W End Ave
Nashville, TN 37203-1423

Phone 615-327-1614 · Fax 615-327-2413

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