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Individual

AMY R THORNE

Active
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Individual

AMY R THORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2016034327
MO
207N00000X
Dermatology Physician
Primary
6265
OK
207N00000X
Dermatology Physician
R3974
TX

Other

Enumeration date
05/13/2013
Last updated
03/18/2020
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