Organization
ODABLE
Active
Organization
ODABLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUGSA BACHA GEMEDA (MANAGING MEMBER)
(510) 576-9176
Entity
Organization
Contact information
Practice address
10579 DOMEYKITE VW, COLORADO SPGS, CO 80908-4539
(719) 505-9155
Mailing address
10579 DOMEYKITE VW, COLORADO SPGS, CO 80908-4539
(719) 505-9155
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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