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1871313726
OMAR JERAS ABU-WISHAH
COLORADO SPRINGS, CO
NPI
1871313726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
OMAR JERAS ABU-WISHAH
157 FONTAINE BLVD
COLORADO SPRINGS, CO 80911-2110
Phone number: 909-680-0404
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Mailing Address
OMAR JERAS ABU-WISHAH
1925 SECLUSION PT
COLORADO SPRINGS, CO 80918-7975
Phone number: 909-680-0404
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