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Individual
LEOLSEGED LEGESSE-MULUSHEWA
Active
Individual
LEOLSEGED LEGESSE-MULUSHEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004755
MD
363A00000X
Physician Assistant
PA030848
DC
Other
Enumeration date
10/29/2012
Last updated
06/02/2021
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