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Individual

HAILE LSEDAMU ABERHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2080 NW 9TH ST, CORVALLIS, OR 97330-1484
(541) 753-2226
Mailing address
620 S 19TH ST, PHILOMATH, OR 97370-9271
(702) 358-8463

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016599
OR

Other

Enumeration date
05/17/2018
Last updated
05/17/2018
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