Tewodros Gossaye Dagne

NPI #1962101915 in Peyton, Colorado

Provider Information

NPI Number: 1962101915
Entity Type: Individual
Name: Tewodros Gossaye Dagne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Feb 28, 2023
Last Updated: Feb 28, 2023

Practice Location

Address: 9874 GOLF CREST DR
City: Peyton
State: Colorado
ZIP Code: 80831-8361
Phone: (720) 460-6818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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