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IGIETSU MEDICAL &GENERAL MERCHANDIZE SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AHMADU EMMANESI IGIETSU (CEO)
(817) 300-3640
Entity
Organization

Contact information

Practice address
1411A E ABRAM ST STE D, ARLINGTON, TX 76010-7212
(817) 300-3640
(817) 277-4406
Mailing address
PO BOX 182158, ARLINGTON, TX 76096-2158
(817) 300-3640
(817) 277-4406

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
03/07/2008
Last updated
03/07/2008
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