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Individual
YONAS A KASSAYE
Active
Individual
YONAS A KASSAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60864246
WA
183500000X
Pharmacist
PH60864246
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60864246
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
08/30/2021
Last updated
09/14/2021
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