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1083653489
CARL R THORNFELDT
FRUITLAND, ID
NPI
1083653489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: ID M7442)
Enumeration Date
2006-06-04
Last Update Date
2015-03-25
Business Address
-- CARL R THORNFELDT MD
811 NW 12TH ST
FRUITLAND, ID 83619-2268
Phone number: 208-452-7450
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Mailing Address
-- CARL R THORNFELDT MD
811 NW 12TH ST
FRUITLAND, ID 83619-2268
Phone number: 208-452-7450
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