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Search › Oklahoma › Non-emergency Medical Transport (VAN)

Thimotee Ilboudo

NPI 1093163024 · on the registry since 2016 · sole proprietor

Practice

Address
3198 Highway 412 Ste B
Colcord, OK 74338
Phone
(479) 365-7096

Registry record

Primary taxonomy
Non-emergency Medical Transport (VAN)
343900000X
Also registered as
Non-emergency Medical Transport (VAN)
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma