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1184276172
ASMEROM GEBRIEL
CHULA VISTA, CA
NPI
1184276172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: CA 6XML529)
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
ASMEROM GEBRIEL
1794 PICKET FENCE DR
CHULA VISTA, CA 91915-1859
Phone number: 619-948-7683
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Mailing Address
ASMEROM GEBRIEL
1794 PICKET FENCE DR
CHULA VISTA, CA 91915-1859
Phone number: 619-948-7683
Copy
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