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1376212605
IDALIA THORNTON
SOMERVILLE, MA
NPI
1376212605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MA LN99461)
Enumeration Date
2021-09-09
Last Update Date
2021-09-09
Business Address
IDALIA THORNTON LPN
230 HIGHLAND AVE
SOMERVILLE, MA 02143-1408
Phone number: 671-591-5400
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Mailing Address
IDALIA THORNTON LPN
PO BOX 23
MANVILLE, RI 02838-0023
Phone number: 601-209-5755
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