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1518785286
HENOK TAMIRAT ABDISA
RIVERSIDE, MO
NPI
1518785286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
Mr. HENOK TAMIRAT ABDISA transport provider
4715 NW FLINTRIDGE RD
RIVERSIDE, MO 64150-1153
Phone number: 816-328-8007
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Mailing Address
Mr. HENOK TAMIRAT ABDISA transport provider
4715 NW FLINTRIDGE RD
RIVERSIDE, MO 64150-1153
Phone number: 816-328-8007
Copy