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Individual

TEWODROS GOSSAYE DAGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9874 GOLF CREST DR, PEYTON, CO 80831-8361
(720) 460-6818
Mailing address
9874 GOLF CREST DR, PEYTON, CO 80831-8361
(720) 460-6818

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
02/28/2023
Last updated
02/28/2023
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Product
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  • Eligibility checks
  • EDI platform