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Individual
KABRAL MEBRAHTOM HABTEMARIAM
Active
Individual
KABRAL MEBRAHTOM HABTEMARIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
80134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80134
STATE BOARD OF PHARMACY
CA
Enumeration date
06/30/2019
Last updated
06/30/2019
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