KEIRU HALEWI MUKTAR

COLORADO SPRINGS, CO
NPI1295453215
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: CO  20221788177)
Enumeration Date2022-08-16
Last Update Date2022-08-16
Business Address
KEIRU HALEWI MUKTAR
102 S TEJON ST STE 1100
COLORADO SPRINGS, CO 80903-2253
Phone number: 720-207-8796
Mailing Address
KEIRU HALEWI MUKTAR
PO BOX 200912
DENVER, CO 80220-0912
Phone number: 720-207-8796
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