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Thierry Ilela N'seboko JR.
Student in an Organized Health Care Education/Training Program in Greeley, Colorado
NPI 1548872179

Thierry Ilela N'seboko JR. is a Student in an Organized Health Care Education/Training Program based in Greeley, CO. Thierry Ilela N'seboko JR. practices in Greeley, CO. The NPI Number for Thierry Ilela N'seboko JR. is 1548872179 and holds a License No. 15-226-0577 (Colorado).

The current practice location address for Thierry Ilela N'seboko JR. is 1300 N 17Th Ave, Greeley, CO and can be reached out via phone at 970-347-2120.

Location: 1300 N 17Th Ave, Greeley, CO, 80631-9584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548872179
Provider Name
Thierry Ilela N'seboko JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1300 N 17Th Ave, Greeley, CO, 80631-9584
Phone Number
970-347-2120
Fax Number
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 N 17Th Ave
City
Greeley
State
Colorado
Zip
80631-9584
Phone Number
970-347-2120
Fax Number
person
Provider Business Mailing Address Details
Address
1300 N 17Th Ave
City
Greeley
State
Colorado
Zip
80631-9584
Phone Number
970-347-2120
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
15-226-0577 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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