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1629467683
AHMED MOHAMED DFAALLA
GLENDALE, AZ
NPI
1629467683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: AZ 696286)
Enumeration Date
2015-01-14
Last Update Date
2015-01-14
Business Address
-- AHMED MOHAMED DFAALLA
4624 W PARADISE DR
GLENDALE, AZ 85304-3029
Phone number: 602-772-7051
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Mailing Address
-- AHMED MOHAMED DFAALLA
4624 W PARADISE DR
GLENDALE, AZ 85304-3029
Phone number: 602-772-7051
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