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Individual
SALVADOR MIRELES THORN
Active
Individual
SALVADOR MIRELES THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11074
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/29/2017
Last updated
12/10/2024
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