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1942818786
IRENEE ABONEGI LEBUABANGA
GRAND PRAIRIE, TX
NPI
1942818786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2020-07-17
Last Update Date
2020-07-17
Business Address
Mr. IRENEE ABONEGI LEBUABANGA
2669 GRAND COLONIAL ST
GRAND PRAIRIE, TX 75054-0258
Phone number: 817-992-9138
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Mailing Address
Mr. IRENEE ABONEGI LEBUABANGA
2669 GRAND COLONIAL ST
GRAND PRAIRIE, TX 75054-0258
Phone number: 817-992-9138
Copy
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