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Individual

BIRUK HAILU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2520 S FLANDERS CT, AURORA, CO 80013
(720) 937-0768
Mailing address
2520 S FLANDERS CT, AURORA, CO 80013-7692
(720) 937-0768

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B-10007
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B-10007
NON-EMERGENT MEDICAL TRANSPORTION
CO
Enumeration date
06/19/2015
Last updated
06/19/2015
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