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1457170557
WENDEMAGEN THEODORE BENNETT
AURORA, CO
NPI
1457170557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: CO 04UCCC)
Enumeration Date
2024-10-07
Last Update Date
2024-10-09
Business Address
WENDEMAGEN THEODORE BENNETT
2821 S PARKER RD STE 2-1017
AURORA, CO 80014-2735
Phone number: 616-644-8235
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Mailing Address
WENDEMAGEN THEODORE BENNETT
2821 S PARKER RD STE 2-1017
AURORA, CO 80014-2735
Phone number: 616-644-8235
Copy