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1912926882
MARK JARED THORNLEY
LOGAN, UT
NPI
1912926882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 5946318-9922)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Dr. MARK JARED THORNLEY D.D.S.
104 E 200 N
LOGAN, UT 84321-4007
Phone number: 435-752-9662
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Mailing Address
Dr. MARK JARED THORNLEY D.D.S.
104 E 200 N
LOGAN, UT 84321-4007
Phone number: 435-752-9662
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