Doris Faye Thornock

NPI #1346515889 in Montpelier, Idaho

Provider Information

NPI Number
1346515889
Entity Type
Individual
Name
Doris Faye Thornock
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Mar 16, 2012
Last Updated
Mar 16, 2012

Practice Location

Address
444 N 10TH ST
State
Idaho
ZIP Code
83254-1115
Phone
(208) 847-2623

Specialties & Taxonomy Codes

Specialty
Contractor

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