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Individual
TIMOTHY C MADDEN
Active
Individual
TIMOTHY C MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1066
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013756
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
03/04/2008
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