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ABDULLATIF ALJASIM

>> Driver >> Other Service Providers

Registrant NPI Number: 1114487477

Individual Registrant:
 ABDULLATIF  ALJASIM 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
11925 BARCLAY DR  MORENO VALLEY, CA 92557-5915 US
Tel: 415-936-4567  Fax: --

Contact information for business:
11925 BARCLAY DR  MORENO VALLEY, CA 92557-5915 US
Tel: 415-936-4567  Fax: --

Registration Information:
NPI: 1114487477
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172A00000XOther Service Providers
Driver
CAY4777315

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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