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Individual

YOHANNES ABATE HAILU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 SASSAFRAS ST, HUTTO, TX 78634
(512) 947-1306
(214) 594-8385
Mailing address
100 SASSAFRAS ST, HUTTO, TX 78634-4538
(512) 947-1306
(214) 594-8385

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary

Other

Enumeration date
08/18/2017
Last updated
07/21/2022
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