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Individual

KEVIN HORTON SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4575 S SALIDA ST, AURORA, CO 80015-1977
(571) 268-7386
Mailing address
4575 S SALIDA ST, AURORA, CO 80015-1977
(571) 268-7386

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20228237900
STATE OF COLORADO
CO
Enumeration date
01/05/2023
Last updated
01/05/2023
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