Thurman Hornbuckle III

NPI #1588961155 in Provo, Utah

Provider Information

NPI Number: 1588961155
Entity Type: Organization
Organization Name: Thurman Hornbuckle III
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 17, 2011
Last Updated: Feb 17, 2011

Practice Location

Address: 517 N 2870 W
City: Provo
State: Utah
ZIP Code: 84601-8259
Phone: (310) 292-2844

Authorized Official

Name: MR. THURMAN HORNBUCKLE III
Title: PTA
Phone: (310) 292-2844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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