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Individual

MR. CARY L THORSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPA

Contact information

Practice address
2505 BLACK DUCK AVE, JOHNSTOWN, CO 80534-4602
(970) 587-2975
Mailing address
2505 BLACK DUCK AVE, JOHNSTOWN, CO 80534-4602
(970) 587-2975

Taxonomy

Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary

Other

Enumeration date
06/19/2013
Last updated
06/19/2013
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