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1467138453
ELOSAMA A DIAB
PHOENIX, AZ
NPI
1467138453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
ELOSAMA A DIAB
4030 W GRANDVIEW RD
PHOENIX, AZ 85053-2731
Phone number: 480-599-5917
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Mailing Address
ELOSAMA A DIAB
6127 W WAGONER RD
GLENDALE, AZ 85308-1150
Phone number: 214-774-7006
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