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1093123044
SILAS KFUSALU WAINDIM
COTTAGE GROVE, MN
NPI
1093123044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: MN USDOT2493341)
Enumeration Date
2014-07-22
Last Update Date
2014-07-22
Business Address
Mr. SILAS KFUSALU WAINDIM Mr
8923 GREYSTONE AVE S
COTTAGE GROVE, MN 55016-2761
Phone number: 651-304-0541
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Mailing Address
Mr. SILAS KFUSALU WAINDIM Mr
8923 GREYSTONE AVE S
COTTAGE GROVE, MN 55016-2761
Phone number: 651-304-0541
Copy
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