Thimotee Ilboudo
Thimotee Ilboudo is a Non-emergency Medical Transport (VAN) in Colcord, Oklahoma. Practices as a sole proprietor. Licensed in Arkansas.
- Licensed in
- AR
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
3198 Highway 412 Ste BColcord, OK 74338-1356
Phone: (479) 365-7096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X |
|---|---|
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X (AR) |
Record details
| NPI number | 1093163024 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 31, 2016 |
| Last updated in NPPES | July 4, 2022 |
| Certification date | July 4, 2022 |
| Mailing address | 3198 Highway 412 Ste B206, Colcord, OK 74338-1356 |