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Mr. Joseph Amos Tatum SR.
Driver in Rifle, Colorado
NPI 1144971565

Joseph Amos Tatum SR. is a Driver based in Rifle, CO. Joseph Amos Tatum SR. practices in Rifle, CO. The NPI Number for Joseph Amos Tatum SR. is 1144971565 and holds a License No. 20218177072 (Colorado).

The current practice location address for Joseph Amos Tatum SR. is 102 W 26Th St, Rifle, CO and can be reached out via phone at 505-592-2851.

Location: 102 W 26Th St, Rifle, CO, 81650-3109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144971565
Provider Name
Joseph Amos Tatum SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 W 26Th St, Rifle, CO, 81650-3109
Phone Number
505-592-2851
Fax Number
Provider Enumeration Date
01/17/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1993 01 CO .
institution
Provider Business Practice Location Address Details
Address
102 W 26Th St
City
Rifle
State
Colorado
Zip
81650-3109
Phone Number
505-592-2851
Fax Number
person
Provider Business Mailing Address Details
Address
102 W 26Th St
City
Rifle
State
Colorado
Zip
81650-3109
Phone Number
505-592-2851
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
20218177072 (Colorado)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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