Individual
THEODORE OUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2877 W 119TH AVE, #104, WESTMINSTER, CO 80234-2536
(303) 466-6344
Mailing address
2877 W 119TH AVE, #104, WESTMINSTER, CO 80234-2536
(303) 466-6344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
46884
CO
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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