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Individual

MR. DESSALEGN TECHANE ASSEFA I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5719 BARNWOOD DR, NORTH CHESTERFIELD, VA 23234-7711
(804) 878-5984
(804) 658-4546
Mailing address
5719 BARNWOOD DR, RICHMOND, VA 23234
(804) 878-5984
(804) 658-4546

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
45/4069141
VA

Other

Enumeration date
04/06/2017
Last updated
03/30/2018
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