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Individual
KASSA TADESSE BELAY
Active
Individual
KASSA TADESSE BELAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.118354
OH
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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