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Individual
TERA THORNTON
Active
Individual
TERA THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9655980
FL
163WH0200X
Home Health Registered Nurse
Primary
9655980
FL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
Other
Enumeration date
01/31/2019
Last updated
05/20/2025
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