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1013136407
JOSEPH THORNTON
LEWISTON, ID
NPI
1013136407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2007-04-24
Last Update Date
2007-11-08
Business Address
-- JOSEPH THORNTON LMPO
801 BRYDEN AVE
LEWISTON, ID 83501-4927
Phone number: 208-798-4605
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Mailing Address
-- JOSEPH THORNTON LMPO
PO BOX 2620
HAYDEN, ID 83835-2620
Phone number: 208-676-9080
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