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Individual
DALLAS MITCHELL THORNTON
Active
Individual
DALLAS MITCHELL THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
VA60898633
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VA60898633
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
12/20/2022
Last updated
12/20/2022
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