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1568155497
FAMI HALEWI MUKTAR
COLORADO SPRINGS, CO
NPI
1568155497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: CO 20231573071)
Enumeration Date
2023-05-26
Last Update Date
2023-07-20
Business Address
FAMI HALEWI MUKTAR
102 S TEJON ST STE 1100
COLORADO SPRINGS, CO 80903-2253
Phone number: 720-207-8796
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Mailing Address
FAMI HALEWI MUKTAR
PO BOX 200912
DENVER, CO 80220-0912
Phone number: 720-207-8796
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