THAYNE MADSEN PARKER

ERIE, PA
NPI1003484411
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  OT020988)
Enumeration Date2021-06-12
Last Update Date2021-06-12
Business Address
THAYNE MADSEN PARKER DO
5515 PEACH ST
ERIE, PA 16509-2603
Phone number: 702-338-5545
Mailing Address
THAYNE MADSEN PARKER DO
4090 BLACKBERRY LN
ERIE, PA 16506-1764
Phone number: 702-338-5545
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