Individual
HAGOS WELDEGEBRIEL DEBESAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1339 INDIANOLA AVE, COLUMBUS, OH 43201-4815
(614) 972-2100
Mailing address
1339 INDIANOLA AVE, COLUMBUS, OH 43201-4815
(614) 972-2100
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
3974208
OH
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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