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1063970168
TINA MICHELLE THORNE
NAMPA, ID
NPI
1063970168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: ID 60947)
Enumeration Date
2019-03-07
Last Update Date
2019-03-07
Business Address
TINA MICHELLE THORNE
512 5TH AVE S
NAMPA, ID 83651-4153
Phone number: 208-250-7653
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Mailing Address
TINA MICHELLE THORNE
512 5TH AVE S
NAMPA, ID 83651-4153
Phone number: 208-250-7653
Copy
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