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Individual

JALAL HARUN

Active
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Individual

JALAL HARUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
J62501265
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J62501265
LICENSE
AZ
Enumeration date
09/26/2022
Last updated
09/26/2022
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