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DR. GAUTHAMA THOMPSON D.C., C.C.S.P.

Chiropractic Providers Chiropractor Sports Physician

Provider NPI: 1487617692

Provider Information:
DR. GAUTHAMA  THOMPSON D.C., C.C.S.P.
Gender: M
Not Sole Proprietor

Practice Location:
344 HANCOCK ST SUITE 1 RUMFORD, ME 04276-1937 US
Tel: 207-364-7931  Fax: 207-364-3644

Business Mailing Address:
344 HANCOCK ST SUITE 1 RUMFORD, ME 04276-1937 US
Tel: 207-364-7931  Fax: 207-364-3644

NPI Information:
NPI: 1487617692
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111NS0005XChiropractic Providers
Chiropractor
Sports Physician
MECR1066
N171100000XOther Service Providers
Acupuncturist
MECR1066

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 111NS0005X

Type:

Classification:



Definition:



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