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Individual
TADESSE WORKU
Active
Individual
TADESSE WORKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95029959
CA
363LF0000X
Family Nurse Practitioner
NP95029959
CA
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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