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Individual

UMAT LUTFIYEVICH YUSUPOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1534 S NILE CT, AURORA, CO 80012-5221
(970) 980-4482
Mailing address
1534 S NILE CT, AURORA, CO 80012-5221
(970) 980-4482

Taxonomy

Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
CO
172A00000X
Driver

Other

Enumeration date
01/08/2026
Last updated
01/08/2026
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