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Individual

MR. NEBYELEUL ZEGEYE RETA I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
7900 32ND ST N, OAKDALE, MN 55128-4054
(651) 855-0991
Mailing address
1479 TIMBERLAKE RD, UNIT D, SAINT PAUL, MN 55117-3895
(651) 497-1861

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120683
MN

Other

Enumeration date
02/06/2012
Last updated
02/06/2012
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