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Individual
MELAKU MICHAELS
Active
Individual
MELAKU MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062813
PA
363A00000X
Physician Assistant
OA005789
PA
Other
Enumeration date
09/22/2021
Last updated
11/30/2022
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