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Gloria Jean Thompson
Lodging Provider in Pontiac, Michigan
NPI 1750141792

Gloria Jean Thompson is a Lodging Provider based in Pontiac, MI. Gloria Jean Thompson practices in Pontiac, MI. The NPI Number for Gloria Jean Thompson is 1750141792 and holds a License No. (Michigan).

The current practice location address for Gloria Jean Thompson is 88 Osceola Dr, Pontiac, MI and can be reached out via phone at 248-296-9441.

Location: 88 Osceola Dr, Pontiac, MI, 48341-1152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750141792
Provider Name
Gloria Jean Thompson
Credential
Provider Entity Type
Individual
Gender
Female
Address
88 Osceola Dr, Pontiac, MI, 48341-1152
Phone Number
248-296-9441
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
88 Osceola Dr
City
Pontiac
State
Michigan
Zip
48341-1152
Phone Number
248-296-9441
Fax Number
person
Provider Business Mailing Address Details
Address
88 Osceola Dr
City
Pontiac
State
Michigan
Zip
48341-1152
Phone Number
248-296-9441
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
()
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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