Individual
MULUGETA WELDERUFAEL GEBRESLASSEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2175 ACADEMY CIR STE 8, COLORADO SPRINGS, CO 80909-1682
(720) 297-7568
Mailing address
52 N NEWCASTLE CT, AURORA, CO 80018-1727
(720) 297-7568
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
BXGZ98
CO
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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