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Individual

SISAY DEMESSIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13031 E 13TH PL APT 10, AURORA, CO 80011-6465
(720) 975-6901
Mailing address
13031 E 13TH PL APT 10, AURORA, CO 80011-6465
(720) 975-6901

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
CO

Other

Enumeration date
09/08/2023
Last updated
09/13/2023
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