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Individual
DR. TEKLEHAIMANOT ABRAHA
Active
Individual
DR. TEKLEHAIMANOT ABRAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95005443
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95005443
FURNISHING NUMBER
CA
Enumeration date
04/13/2017
Last updated
08/15/2023
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