Individual
DAGIM TESHOME DEMEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7132 PORTLAND AVE, MINNEAPOLIS, MN 55423-3264
(651) 217-3637
Mailing address
7132 PORTLAND AVE, MINNEAPOLIS, MN 55423-3264
(651) 217-3637
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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