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1700659612
TATEK GEBREYESUS
CENTENNIAL, CO
NPI
1700659612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-11-02
Last Update Date
2023-11-02
Business Address
Mr. TATEK GEBREYESUS
5954 S HELENA ST
CENTENNIAL, CO 80016-1036
Phone number: 732-491-3008
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Mailing Address
Mr. TATEK GEBREYESUS
5954 S HELENA ST
CENTENNIAL, CO 80016-1036
Phone number: 732-491-3008
Copy
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