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1104238450
RICHARD THORNELL
SAN ANTONIO, TX
NPI
1104238450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP124687)
Enumeration Date
2014-05-21
Last Update Date
2018-12-13
Business Address
RICHARD THORNELL
11634 PURPLE MINT
SAN ANTONIO, TX 78245-3369
Phone number: 210-219-7332
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Mailing Address
RICHARD THORNELL
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-7603
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