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Individual

SHOUA HER THAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
859 S 4TH AVE, BRIGHTON, CO 80601-3205
(303) 338-4545
Mailing address
13020 HUDSON ST, THORNTON, CO 80241-2338
(303) 502-7135

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1630645
CO

Other

Enumeration date
07/19/2017
Last updated
07/19/2017
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