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1942912803
KIBROM S WELDEMICHAEL
FORT WORTH, TX
NPI
1942912803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2022-12-21
Last Update Date
2022-12-21
Business Address
KIBROM S WELDEMICHAEL
832 E 1ST ST
FORT WORTH, TX 76102-3212
Phone number: 817-965-5605
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Mailing Address
KIBROM S WELDEMICHAEL
832 E 1ST ST
FORT WORTH, TX 76102-3212
Phone number: 817-965-5605
Copy
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