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1255056230
ASMEROM ASMELASH ASFAHA
FORT WORTH, TX
NPI
1255056230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: TX 04253607)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
ASMEROM ASMELASH ASFAHA
832 E 1ST ST
FORT WORTH, TX 76102-3212
Phone number: 469-602-8919
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Mailing Address
ASMEROM ASMELASH ASFAHA
832 E 1ST ST
FORT WORTH, TX 76102-3212
Phone number: 469-602-8919
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