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1992489603
YOHANNES ANDOM KIDANE
PUEBLO, CO
NPI
1992489603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-06-13
Last Update Date
2023-06-13
Business Address
YOHANNES ANDOM KIDANE
5000 RED CREEK SPRINGS RD LOT 54
PUEBLO, CO 81005-9723
Phone number: 720-492-7581
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Mailing Address
YOHANNES ANDOM KIDANE
9695 E ARKANSAS PL
DENVER, CO 80247-5698
Phone number:
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