Individual
MR. RANDALL EUGENE THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 526-7071
Mailing address
PO BOX 157, FOUNTAIN, CO 80817-0157
(719) 964-4823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125342
CO
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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