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Individual

SANDRA ROSE THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COT

Contact information

Practice address
3 SHIRCLIFF WAY, SUITE 134, JACKSONVILLE, FL 32204-4757
(904) 384-3500
(904) 388-9132
Mailing address
7000-2 ROOSEVELT BLVD, JACKSONVILLE, FL 32244-4024
(904) 384-3500
(904) 388-9132

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary

Other

Enumeration date
04/14/2008
Last updated
04/14/2008
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