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1538903745
HAITAM M ABUGHRARA
ALEXANDRIA, VA
NPI
1538903745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: VA B65301570)
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
Mr. HAITAM M ABUGHRARA
5422 ECHOLS AVE
ALEXANDRIA, VA 22311-1343
Phone number: 571-494-7896
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Mailing Address
Mr. HAITAM M ABUGHRARA
5422 ECHOLS AVE
ALEXANDRIA, VA 22311-1343
Phone number: 571-494-7896
Copy
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