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1093405243
SAMUEL GEBREMICHAEL
AURORA, CO
NPI
1093405243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
Additional Taxonomies
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-05-10
Last Update Date
2023-09-07
Business Address
SAMUEL GEBREMICHAEL
861 S MEMPHIS WAY
AURORA, CO 80017-3103
Phone number: 720-338-7860
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Mailing Address
SAMUEL GEBREMICHAEL
861 S MEMPHIS WAY
AURORA, CO 80017-3103
Phone number: 720-338-7860
Copy
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