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1932110699
BASHIRU ENIOLA RAHMAN
VAN NUYS, CA
NPI
1932110699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: CA 4414340001)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
-- BASHIRU ENIOLA RAHMAN
17306 SATICOY ST
VAN NUYS, CA 91406-2435
Phone number: 818-785-5543
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Mailing Address
-- BASHIRU ENIOLA RAHMAN
17306 SATICOY ST
VAN NUYS, CA 91406-2435
Phone number: 818-785-5543
Copy
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