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Individual
TADESSE KEBEDE DEBELE
Active
Individual
TADESSE KEBEDE DEBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26094
NV
207Q00000X
Family Medicine Physician
R7887
AZ
363A00000X
Physician Assistant
PA2058
NV
390200000X
Student in an Organized Health Care Education/Training Program
R78887
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164999660
—
NV
Enumeration date
11/01/2018
Last updated
08/16/2024
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