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Individual

JANICE R THORNBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2741 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106-2653
(505) 255-8682
(505) 255-7890
Mailing address
5 MONTICELLO DR NE, ALBUQUERQUE, NM 87123-9538
(505) 299-8749

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RON553
NM

Other

Enumeration date
07/30/2006
Last updated
07/08/2007
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