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1043869985
TARA E THORNOCK
COLVILLE, WA
NPI
1043869985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN60328677)
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
TARA E THORNOCK RN
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
TARA E THORNOCK RN
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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