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Individual

KIMBERLEY THORNBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
66 N 180 W, EPHRAIM, UT 84627-2130
(435) 283-0164
Mailing address
66 N 180 W, EPHRAIM, UT 84627-2130
(435) 283-0164

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/21/2022
Last updated
05/21/2022
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