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Organization
PIHC
Active
Organization
PIHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY JO THORNTON LPN (LPN)
(928) 669-3270
Entity
Organization
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3270
Mailing address
PO BOX 5115, PARKER, AZ 85344-2115
(928) 916-3667
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
P154725
MS
Other
Enumeration date
04/20/2007
Last updated
07/09/2008
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