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Individual

JAMES L THURSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 419-4365
Mailing address
440 SUNRISE PKWY, FARMINGTON, NM 87401-9255
(505) 419-4365

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R25232
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10002236
LOVELACE HP
NM
01
201010016
PRESBYTERIAN HP
NM
05
750382
AZ
05
91991
NM
05
97252324
CO
01
NM006486
BCBS
NM
01
P00118798
RR MEDICARE
NM
05
T0590
UT
Enumeration date
02/13/2006
Last updated
07/29/2013
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