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Dejene D Mekonnen

Non-emergency Medical Transport (VAN) in Aurora, CO. Individual provider (NPI-1).

NPI number1972352011
StatusActive
Last updated in NPPESMay 13, 2024

Details

NPI
1972352011
Entity type
Individual (NPI-1)
Name
Dejene D Mekonnen
Sex
Male
Sole proprietor
Yes
Enumeration date
May 13, 2024
Certification date
May 13, 2024
Last updated
May 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

12500 E Iliff Ave Ste 220
Aurora, CO 80014-1374

Phone 720-810-8554

Mailing address

12500 E Iliff Ave Ste 220
Aurora, CO 80014-1374

Phone 720-810-8554

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