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1376048983
ABDISSA A DIRIRSA
DENVER, CO
NPI
1376048983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2018-03-26
Last Update Date
2018-04-18
Business Address
ABDISSA A DIRIRSA
5158 SHERMAN ST
DENVER, CO 80216-2075
Phone number: 720-951-9020
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Mailing Address
ABDISSA A DIRIRSA
5158 SHERMAN ST
DENVER, CO 80216-2075
Phone number: 720-951-9020
Copy
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