Individual
MR. MESFUN MEHARI TEKLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10700 E DARTMOUTH AVE APT E101, DENVER, CO 80014-4856
(303) 350-7668
Mailing address
10700 E DARTMOUTH AVE APT E101, AURORA, CO 80014
(303) 350-7668
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
07-191-0654
CO
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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