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1669156402
ABDIFATAH MOHAMED HASSAN
MILWAUKEE, WI
NPI
1669156402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: WI M5320008600115)
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
ABDIFATAH MOHAMED HASSAN
5068 S 14TH ST
MILWAUKEE, WI 53221-3536
Phone number: 414-719-6723
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Mailing Address
ABDIFATAH MOHAMED HASSAN
5068 S 14TH ST
MILWAUKEE, WI 53221-3536
Phone number: 414-719-6723
Copy
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