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1124740683
MANGALISO ROSEMAN
STONE MOUNTAIN, GA
NPI
1124740683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
MANGALISO ROSEMAN
3909 S CREEK CT
STONE MOUNTAIN, GA 30083-7005
Phone number: 510-467-8485
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Mailing Address
MANGALISO ROSEMAN
3909 S CREEK CT
STONE MOUNTAIN, GA 30083-7005
Phone number: 510-467-8485
Copy
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