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TARREN BUFORD LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1609548569
Individual Registrant: TARREN BUFORD LPN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
13 W 3RD ST STE 111 LA JUNTA, CO 81050-1591 US
Tel: 719-383-3041 Fax: 719-383-3060
Tel: 719-383-3041 Fax: 719-383-3060
Contact information for business:
13 W 3RD ST STE 111 LA JUNTA, CO 81050-1536 US
Tel: 719-383-3041 Fax: --
Tel: 719-383-3041 Fax: --
Registration Information:
NPI: 1609548569
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | CO | 48648 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
