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Thimotee Ilboudo
Non-emergency Medical Transport (VAN) in Colcord, Oklahoma
NPI 1093163024

Thimotee Ilboudo is a Non-emergency Medical Transport (VAN) based in Colcord, OK. Thimotee Ilboudo practices in Colcord, OK. The NPI Number for Thimotee Ilboudo is 1093163024 and holds a License No. (Oklahoma).

The current practice location address for Thimotee Ilboudo is 3198 Highway 412 Ste B, Colcord, OK and can be reached out via phone at 479-365-7096.

Location: 3198 Highway 412 Ste B, Colcord, OK, 74338-1356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093163024
Provider Name
Thimotee Ilboudo
Credential
Provider Entity Type
Individual
Gender
Male
Address
3198 Highway 412 Ste B, Colcord, OK, 74338-1356
Phone Number
479-365-7096
Fax Number
Provider Enumeration Date
05/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3198 Highway 412 Ste B
City
Colcord
State
Oklahoma
Zip
74338-1356
Phone Number
479-365-7096
Fax Number
person
Provider Business Mailing Address Details
Address
3198 Highway 412 Ste B
City
Colcord
State
Oklahoma
Zip
74338-1356
Phone Number
479-365-7096
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(Arkansas)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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