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1912539024
JABRILL OMAR JIMAALE
FORT WORTH, TX
NPI
1912539024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: MN T950225934414)
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
JABRILL OMAR JIMAALE
5725 E LANCASTER AVE
FORT WORTH, TX 76112-6528
Phone number: 817-851-1663
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Mailing Address
JABRILL OMAR JIMAALE
5725 E LANCASTER AVE
FORT WORTH, TX 76112-6528
Phone number: 817-851-1663
Copy
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