YIDNEKACHEW ANTON ANTOKHIN

LAKEWOOD, CO
NPI1578949962
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: CO  08-319-0596)
Enumeration Date2015-08-07
Last Update Date2015-08-07
Business Address
-- YIDNEKACHEW ANTON ANTOKHIN
1171 S KLINE WAY
LAKEWOOD, CO 80232-5043
Phone number: 720-666-0014
Mailing Address
-- YIDNEKACHEW ANTON ANTOKHIN
1171 S KLINE WAY
LAKEWOOD, CO 80232-5043
Phone number: 720-532-7460
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