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1538643119
FAHD DAEDOUE
GLEN ALLEN, VA
NPI
1538643119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: VA 002-00670711)
Enumeration Date
2018-09-20
Last Update Date
2018-09-20
Business Address
FAHD DAEDOUE
435 KINGSCOTE LN
GLEN ALLEN, VA 23059-4675
Phone number: 804-549-7775
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Mailing Address
FAHD DAEDOUE
435 KINGSCOTE LN
GLEN ALLEN, VA 23059-4675
Phone number: 804-549-7775
Copy
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