JIM GULTOM

DENVER, CO
NPI1366709388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CO  43575)
Enumeration Date2012-04-15
Last Update Date2012-04-15
Business Address
-- JIM GULTOM lpn
19053 E 51ST AVE
DENVER, CO 80249-8433
Phone number: 303-395-5558
Mailing Address
-- JIM GULTOM lpn
19053 E 51ST AVE
DENVER, CO 80249-8433
Phone number: 303-395-5558
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