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1952168254
SAMEL T GEBRESILASIE
ATLANTA, GA
NPI
1952168254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: GA 057597061)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
SAMEL T GEBRESILASIE
2053 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30310-1165
Phone number: 404-513-6908
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Mailing Address
SAMEL T GEBRESILASIE
2053 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30310-1165
Phone number: 404-513-6908
Copy
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