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Organization

SHASHAMANE ETHIOPIA FEDERAL AGENTS ASSOCIATION (THE)

Active
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Organization

SHASHAMANE ETHIOPIA FEDERAL AGENTS ASSOCIATION (THE)

Active
Other names
SEFAA
Organization subpart
No

Provider details

NPI number
Authorized official
CLAYTON M. BERNARD EX (CONTROLLER)
(202) 765-2230
Entity
Organization

Contact information

Practice address
2157 W 31ST ST # 2161, LOS ANGELES, CA 90018-3424
(202) 765-2230
(877) 490-3078
Mailing address
405 LEXINGTON AVE, CHRYSLER BUILDING 25TH & 26TH FLOORS, NEW YORK, NY 10174-0002
(202) 765-2230
(877) 490-3078

Taxonomy

Speciality
Code
Description
License number
State
174M00000X
Veterinarian
251300000X
Local Education Agency (LEA)
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
03/12/2015
Last updated
03/12/2015
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