Organization
THURMAN HORNBUCKLE III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THURMAN HORNBUCKLE III (PTA)
(310) 292-2844
Entity
Organization
Contact information
Practice address
517 N 2870 W, PROVO, UT 84601-8259
(310) 292-2844
Mailing address
517 N 2870 W, PROVO, UT 84601-8259
(310) 292-2844
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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