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Individual
MR. ALEMAYEHU LEMMA MANDEFRO
Active
Individual
MR. ALEMAYEHU LEMMA MANDEFRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204483
VA
183500000X
Pharmacist
RP0007415
WV
Other
Enumeration date
03/13/2011
Last updated
03/13/2011
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