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Individual

DEBISA KENATE WOYESSA SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
122 W FRANKLIN AVE STE 510, MINNEAPOLIS, MN 55404-2454
(763) 222-6575
(612) 320-3257
Mailing address
14375 ANNAPOLIS LN N, DAYTON, MN 55327-4428
(612) 670-4721

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MN

Other

Enumeration date
08/15/2023
Last updated
08/15/2023
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