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1740827765
OMER MOHAMED
PHOENIX, AZ
NPI
1740827765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: AZ D04629645)
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
MR. OMER MOHAMED
1606 W PEORIA AVE APT 103
PHOENIX, AZ 85029-5702
Phone number: 520-251-7391
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Mailing Address
MR. OMER MOHAMED
PO BOX 7501
PHOENIX, AZ 85011-7501
Phone number: 520-251-7391
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