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Individual
SERKALEM LEYIKUN MULUGETA
Active
Individual
SERKALEM LEYIKUN MULUGETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
955659
—
CA
Enumeration date
03/09/2018
Last updated
04/08/2026
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