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Organization

DME PROFESSIONALS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AHTISHAM KHAN (CEO)
(123) 456-7890
Entity
Organization

Contact information

Practice address
20600 EUREKA RD, SUITE 314, TAYLOR, MI 48180-5343
(123) 456-7890
Mailing address
PO BOX 2407, RIVERVIEW, MI 48193-1407

Taxonomy

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

Other

Enumeration date
04/11/2012
Last updated
04/11/2012
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